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Epworth Sleep Scale (ESS)

Epworth Sleep Scale

Choose the most appropriate response for each situation.

  1. Never Would Doze off
  2. Slight chance of dozing
  3. Moderate chance of dozing
  4. High chance of dozing
Sitting and reading
Watching TV
Sitting inactive in a public place
As a passenger in a car for an hour without a break
Laying down to rest in the afternoon when circumstances
Sitting and talking with someone
Sitting quietly after lunch without alcohol
In a car, while stopped for a few minutes

 

STOP-BANG Sleep Apnea Questionnaire

SNORE:
Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?

Yes     No

TIRED:
Do you often feel tired, fatigued, or sleepy during daytime?

Yes     No

OBSERVED:
Has anyone observed you stop breathing during your sleep?

Yes     No

PRESSURE:
Do you have or are you being treated for high blood pressure

Yes     No

BMI
more than 35kg/m2?

Yes     No

AGE
over 50 years old?

Yes     No

NECK
circumference > 16 inches (40cm)?

Yes     No

GENDER:
Male?

Yes     No

CATEGORY 1 QUESTIONS

Do you snore?
How loud is your snoring?
How frequently do you snore?
Does your snoring bother other people?
How often have your breathing pauses been noticed?

 

CATEGORY 2 QUESTIONS

Are you tired after sleeping?
Are you tired during wake-time?
How often do you nod off or fall asleep while driving?