The Epworth Sleepiness Scale Sleep Apnea Assessment

Think you might be experiencing sleep apnea but aren’t sure? To help you start figuring out what may be going on with your sleep, you can take the Epworth Sleepiness Scale Sleep Apnea Assessment below. It’s designed to ask about the key risk factors that could indicate sleep apnea, and it’s often the first step our patients take to getting the treatment they need.

After completing this short quiz, Dr. Hamm and her team will interpret the results and contact you within 24 hours to let you know if you should schedule a FREE consultation with us. If you have any questions about this quiz before you take it, please let us know.

The Epworth Sleepiness Scale Sleep Apnea Assessment

Name

Email Address

Phone Number

Age

Weight

Gender

Have you ever had an evaluation at a sleep center? Yes No

Do you have a CPAP device? Yes No

Have you attempted other therapies to deal with breathing and/or snoring issues? Yes No

If yes, please provide details

How likely are you to doze off or fall asleep in the following situations?

Sitting and reading

Watching TV

Sitting in a public place (e.g.: theatre, meeting or church)

As a passenger in a car for an hour without a break

Lying down to rest in the afternoon when circumstances permit

Sitting and talking to someone

Sitting quietly after lunch without alcohol

In a car, while stopped for a few minutes in traffic

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