How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you, using the following scale:
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing
Circle the most appropriate number for each situation.
Pick One | Situation Change of Dozing |
|---|---|
| 0 1 2 3 | Sitting and reading. |
| 0 1 2 3 | Watching TV. |
| 0 1 2 3 | Sitting, inactive, in a public place such as a theatre or 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. |
| 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. |