Self OSA Test
The only way to be sure if you have obstructive
sleep apnoea is to have a sleep test either at home from a qualified sleep
physician or in a hospital sleep centre, but a score of 9 or above on this test
is an indication that you should see your doctor.
Please feel free to print this test, fill it out
and take with you to your physician.
The Epworth Sleepiness Scale
How likely are you to doze off or fall asleep in
the following situations?
Choose the most appropriate number for each situation:
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing
|
Activity
|
Score
|
|
|
|
|
Sitting and Reading
|
_____
|
|
Watching TV
|
_____
|
|
Sitting, inactive in a
public place (theater, meeting, etc.)
|
_____
|
|
As a passenger in a car
for an hour without a break
|
_____
|
|
Lying down to rest in the
afternoon when circumstances permit
|
_____
|
|
Sitting and talking to
someone
|
_____
|
|
Sitting quietly after
lunch without alcohol
|
_____
|
|
In a car, while stopped
for a few minutes in traffic
|
_____
|
|
|
|
|
Total
|
_____
|
A score of 9 or above indicates you may be having a
problem with daytime sleepiness but below 9 does not necessarily mean that you
don't have a problem. See your healthcare professional for advice if you snore,
have been told that you awake gasping for breath or if you are sleepy during
the day.