Measuring Daytime Sleepiness: The Epworth Scale

It is not uncommon for us to see patients who have objectively good scores on their overnight sleep tracker but still feel sleepy throughout the day.  In fact, the definition of insomnia relates to how you feel after you have slept rather than any objective measure of sleep duration and quality.  The scale below is the standard scale used for daytime sleepiness.

	Would Never nod off 0	Slight chance of nodding off 1	Moderate Chance of nodding off 2	High chance of nodding off 3
Sitting and Reading
Watching TV
As a passenger in a car for an hour or more without stopping for a break
Lying down to rest
Sitting and talking to someone
Sitting quietly after a meal without alcohol
In a car, while stopped for a few minutes in traffic or at a light
Totals:

Add your points on this scale to get a total score.  Any score more than 10 indicates that you need more sleep or higher quality sleep.  Enter the score in the form at the end of the stage and record it again after each intervention in the next step.