| Please
answer all quesions |
Would
never doze |
Slight
chance of dosing |
Moderate
chance of dosing |
High
chance of dosing |
| Sitting
& reading |
|
|
|
|
| Watching
television |
|
|
|
|
| Sitting
inactive in public place, for example a theatre
or meeting |
|
|
|
|
| As a
passanger in a car for an hour without a break |
|
|
|
|
| Lying
down to rest in the afternoon |
|
|
|
|
| Sitting
and talking to someone |
|
|
|
|
| Sitting
quitely after lunch (when you've had alcohol) |
|
|
|
|
| In a
car while stopped in traffic |
|
|
|
|
|
is your score. Scores above nine indicate
the need for a sleep specialist. |
