Instructions: Complete the two sections below by clicking
on the Yes/No or 0-3 buttons next to each question. Click the 'Get My Sleepiness Score'
button when finished.
How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling 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 = Would Never Doze Off
1 = Slight Chance of Dozing
2 = Moderate Chance of Dozing (two to three times out of five opportinities)
3 = High Chance of Dozing (four to five times out of five opportinuties)
The information submitted on this page is completely anonymous and will not be retained.