Sleep Screening (Epworth Sleepiness Scale Questionnaire) Epworth Sleepiness Scales (ESS) Screening for Obstructive Sleep Apnea (OSA) How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? Use the following scale to choose the most appropriate number for each situation: 0 – Would never doze 1 – Slight chance of dozing 2 – Moderate chance of dozing 3 – High chance of dozing 1. Sitting and reading0123 2. Watching TV0123 3. Sitting, inactive in a public place (e.g. a theater or a meeting)0123 4. As a passenger in a car for an hour without a break0123 5. Lying down to rest in the afternoon when circumstances permit0123 6. Sitting and talking to someone0123 7. Sitting quietly after a lunch without alcohol0123 8. In a car, while stopped for a few minutes in the traffic0123 Name Email Contact No. Time is Up!