Rate Your Sleepiness  
 
How likely are you to doze off or fall asleep in the following situations in contrast to just feeling tired?

 
0 = Would never doze.1 = Slight chance of dozing.
2 = Moderate chance of dozing. 3 = High chance of dozing.
 
 
SITUATION CHANCE OF DOZING
 
Sitting and Reading.  
     
Watching TV.  
     
Sitting inactive in a public place (i.e. theater).  
     
As a  passenger in car for an hour without a break.  
     
Lying down to rest in the afternoon.  
     
Sitting and talking.  
     
Sitting quietly after lunch.  
     
In a car, while stopped for a few minutes in traffic.  
 
Note: A score of 10 or greater suggests that you have a higher chance of sleep disorder.
 
             
Designed and created by Preeminent Technology