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 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:
O = Would never doze
3 High chance of dozing
2 = Moderate chance of dozing
1 = Slight chance of dozing
Situation
Chance of dozing (0-3)
Sitting and reading
Television
Sitting inactive in a public place, for example a theater or a meeting
As a passenger in a car for an hour without a break
Lying down to rest in the afternoon
Sitting and talking to someone
Sitting quietly after lunch (when you've had no alcohol)
In a car while stopped in traffic
Result
Score / Range:
0-10 Normal
10-12 Borderline
12-24 Abnormal
