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A Journal Promotes Sleep
Jasmine a Restful Scent
Nutrition for a Restful Sleep
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.