Sleep Disorders

Please review the following table and rate how likely you would be to actually doze off during each situation. Score your rating by selecting a number from 0 to 3 points that best describes each situation and total your answers. Even if you have not done some of these things recently, try to recall how they would affect you.

0 points = would never fall asleep
1 point = slight chance of falling asleep
2 points = moderate chance of falling asleep
3 points = high chance of falling asleep

Situation:

1. Sitting and reading

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

2. Watching TV

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

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

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

4. Sitting, inactive in a public place (e.g. a theater or  meeting)

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

5. Lying down to rest in the afternoon when circumstance permits

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

6. Sitting down and talking to someone

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

7. Sitting quietly after lunch       

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

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

0 -- would never fall asleep
1 -- slight chance of falling asleep
2 -- moderate chance of falling asleep
3 -- high chance of falling asleep

YOUR RESULTS

By adding up the beginning numbers of each response, we've computed your symptom score to be:

How Do I Interpret My Score?

Score...	Meaning...
0 - 9	Your symptoms indicate you most likely do not have a sleep disorder.
10+	Your symptoms may be the result of a sleep disorder.

 

What's the Next Step?

If your symptoms indicate that you may have a sleep disorder, we recommend further evaluation. If you have any further questions, please feel free to contact us.