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Sleep Problems
Overview of Sleep Problems
Narcolepsy
Restless Legs Syndrome (RLS)
How tired are you, and how likely are you to doze off at inappropriate times?

Read the following situations and use the scale provided to rate your sleepiness.

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

 Situation

  Chance of Dozing

 Sitting and Reading

 0

 1

 2

 Watching TV

 0

 1

 2

3

 Sitting inactive in a public place

 0

 1

 2

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

 0

 1

 2

 Lying down to rest in the afternoon

 0

 1

 2

3

 Sitting and talking to someone

 0

 1

 2

3

 Sitting quietly after lunch (without alcohol)

 0

 1

 2

3

 In a car, stopped for a few minutes in traffic

 0

 1

 2

3

 

 

 

 

 

Total score __________


If your score is 10 or greater, you are considered sleepy and should see your primary care physician or sleep specialist to discuss your options.