This questionnaire is used to measure your general level of daytime sleepiness. It is only a tool and not a diagnosis of a sleep disorder. Listed below is a routine daytime situation. Please rate the likelihood that you would fall asleep during the situation.

Rate Your Chance of Dozing from 0–3.
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing