How well are you sleeping?

Are you one of those 63 million American adults suffering from moderate to severe levels of sleepiness? The following questionnaire will help you measure your general level of daytime sleepiness. Use the scale below to rate the likelihood that you would doze off or fall asleep (in contrast to just feeling tired) during that activity.

0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

SITUATION
0 1 2 3 Sitting and reading
0 1 2 3 Watching TV
0 1 2 3 Sitting inactive in public place (e.g. a theater or a meeting)
0 1 2 3 As a passenger in a car for an hour without a break
0 1 2 3 Lying down to rest in the afternoon when circumstances permit
0 1 2 3 Sitting and talking to someone
0 1 2 3 Sitting quietly after a lunch without alcohol
0 1 2 3 In a car, while stopped for a few minutes in traffic

Total: 0 hrs

Questionnaire Results - Your Chance of Dozing

If your total score was:

• 1-6 Congratulations, you are getting enough sleep
• 7-8 Your score is average
• 9-16 Talk to your physician about your sleep habits
• Over 16 You are dangerously sleepy, seek advice without delay 

If you would like more information on WellSpan Evangelical Sleep Center, please call 570-522-4275.