Screening questionnaire of Sleepiness Scale
How likely are you 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.
1
Sitting and reading
2
Watching television
3
Sitting inactive in a public place (e.g. a theater or meeting)
4
As a passenger in a car for an hour without a break
5
Lying down to rest in the afternoon when circumstances permit
6
Sitting and talking to someone
7
Sitting quietly after a lunch without alcohol
8
In a car, while stopped for a few minutes in the traffic
Your responses are anonymous and will be kept confidential.
This questionnaire does not collect personally identifiable information. By clicking to submit your responses, you agree to the terms of use.