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Phone: 408 910-8800

A 2-minute survey that could save your life

The survey below is called The Epworth Sleepiness Scale and was developed in 1990 by Dr. Murray Johns a physician at the Epworth Sleep Center in Epworth Hospital in Melbourne, Australia. He wanted a way to measure the daytime sleepiness and the impact of sleep apnea on his patient’s wakeful state. It is now recognized as a integral part of the diagnosis process and is just one of the assessment tools insurance company require to determine medical necessity for treatment.

Take the survey below to see what your score is.

Answer the questions as to how likely you are to doze off or fall asleep in the following situations, in contrast to feeling just tired.

This refers to your usual way of life in recent times. Even if you have not done some of these things recently try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation:

0 = no chance of dozing
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing


  • Sitting and reading ____________
  • Watching TV ____________
  • Sitting inactive in a public place (e.g a theater or a meeting) ____________
  • As a passenger in a car for an hour without a break ____________
  • Lying down to rest in the afternoon when circumstances permit ____________
  • Sitting and talking to someone ____________
  • Sitting quietly after a lunch without alcohol ____________
  • In a car, while stopped for a few minutes in traffic ____________
  • To check your sleepiness score, total the points

Check your total score to see how sleepy you are.

1 – 6 Congratulations, you are getting enough sleep!
7 – 8 Your score is average
9+ Seek the advice of a sleep specialist without delay

This questionnaire is not in place of a diagnosis from a medical professional. If you suspect that you have sleep apnea, give me a call today and I can start you on the road to diagnosis, treatment and a better quality of life.

Aldon J Hilton D.D.S
Phone: 408-910-8800

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