Grant Hensley, D.D.S.

SLEEP SOLUTIONS | Sleep Self-Evaluation | Sleepiness Quiz | Professional Partnerships

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.

Use the following scale to choose the most appropriate number for each situation:

0	=	no chance of dozing
1	=	slight chance of dozing
2	=	moderate chance of dozing
3	=	high chance of dozing

CHANCE OF DOZING	SITUATION
	Sitting and reading
	Watching television
	Sitting inactive in a public place (i.e. a theater or a meeting)
	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 a lunch without alcohol
	In a car, while stopped for a few minutes in traffic

Your sleepiness score is .

Check the results of your score below:

0-6	=	Congratulations, you are getting enough sleep!
7-8	=	Your score is average.
9+	=	Seek the advice of a sleep specialist without delay. Please contact our office.

You may print this page and bring it along to your consultation, if you would like.