sleepiness scale questionnaire

This sleepiness scale is intended to help you evaluate the severity of your sleepiness over the last month.

In the past month or so, how likely are you to doze off or fall asleep in the following situations?

0 = Never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

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Interpretation:

Total the numbers from your responses and compare to the values below.

Sleepiness Score

0-6 = Normal range                    11-16 = Moderate sleepiness
7-10 = Mild sleepiness               17+ = Severe sleepiness