Please rate on a scale of 0 - 3 how likely you are to doze off in each of the following situations. The ratings are added to compile a total score.
0 = Would never doze, 1= Slight chance of dozing, 2= Moderate chance of dozing, 3- High chance of dozing
0 1 2 3 Sitting and reading
0 1 2 3 Watching television
0 1 2 3 Sitting inactive in a public place (theater or meeting)
0 1 2 3 As a passenger in a car for an hour without a break
0 1 2 3 Lying down in the afternoon when circumstances permit.
0 1 2 3 Sitting and talking with someone
0 1 2 3 Sitting quietly after lunch with no alcohol
0 1 2 3 Driving a car while stopped for a few minutes in traffic
_________ ADD UP TOTAL
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SCORING !
1 - 6 Congratulations! You are getting enough sleep!
7 - 8 Your score is average, but you do have sleep debt.
10 + Seek the advice of a sleep specialist without delay!!!