Do I have Sleep Apnea? A 2-minute self-test questionnaire.
Have you ever doze off or fall asleep in the following activities?
0 = Never happened
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing
□ 1. Sitting and reading
□ 2. Watching TV
□ 3. Sitting inactive in a public space (e.g. a theatre or a meeting)
□ 4. As a passenger
□ 5. Lying down to rest when circumstances permit
□ 6. Sitting and talking to someone
□ 7. Sitting quietly after a lunch without alcoholic drinks
□ 8. In a car, while stopped for a few minutes in traffic
= Total Score
(Epworth Sleepiness Scale Key)
0-6: Your need for sleep is normal.
7-8: Your need for sleep is general.
9 or above: Your need for sleep is serious, please consult your doctor and arrange a Sleep Study.