Symptom Screener for Excessive Sleepiness

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Excessive Sleepiness with Obstructive Sleep Apnea

Symptom Screener for Excessive Sleepiness

This symptom screener for excessive sleepiness will help you gather information to share with your doctor.

Each situation receives a score of 0–3:

0 = would never doze

1 = slight chance of dozing

2 = moderate chance of dozing

3 = high chance of dozing

  1. Sitting and reading _____
  2. Watching TV _____
  3. Sitting inactive in a public place _____
  4. Being a passenger in a motor vehicle _____
  5. for an hour or more _____
  6. Lying down in the afternoon _____
  7. Sitting and talking to someone _____
  8. Sitting quietly after lunch (no alcohol) _____
  9. Stopped for a few minutes in traffic _____

Total Score _____