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
|
Scale (0-3)
|
| 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
|
|
| Total |
0
|
Score:
0-10 Normal Range
10-12 Borderline
12-24 Abnormal
