01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

Epworth Sleepiness Scale
You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email. This assessment provides an indication of how tiredness and levels of sleepiness effect your normal daily functioning.
Time Remaining
Send my assessment results by email:
Name
Email

How likely are you 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 haven’t done some of these things recently, try to work out how they would have affected you.

Use the following scales to choose the most appropriate response for each situation:

It is important that you answer each question as best you can.


1. Sitting and reading




2. Watching TV




3. Sitting, inactive in a public place (e.g. a theatre or a meeting)




4. As a passenger in a car for an hour without a break




5. Lying down to rest in the afternoon when circumstances permit




6. Sitting and talking to someone




7. Sitting quietly after a lunch without alcohol




8. In a car, while stopped for a few minutes in the traffic