• Home
• Careers
• Links
• Referring Professionals
• Login
• contact us: (250) 492-2608

You are here: Home » Our Practice » Obstructive Sleep Apnea (OSA) » OSA Screening Questionnaire

The Epworth Sleepiness Scale Screening Questionnaire

How likely you are 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.

Questionnaire

* You will not be contacted by The Smile Enhancement Studio in regards to your results unless you ask us to after completing the questionnaire.

About the Epworth Sleepiness Scale

The questionnaire asks the subject to rate his or her probability of falling asleep on a scale of increasing probability from 0 to 3 for eight different situations that most people engage in during their daily lives, though not necessarily every day.

The scores for the eight questions are added together to obtain a single number. A number in the 0–9 range is considered to be normal while a number in the 10–24 range indicates that expert medical advice should be sought. For instance, scores of 11-15 are shown to indicate the possibility of mild to moderate sleep apnea, where a score of 16 and above indicates the possibility of severe sleep apnea or narcolepsy.

What is your score?

• Follow us on:
• 
• 

© 2024 Dr. Michael W. Burghardt. All rights reserved. marketing by diguno media