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Get Epworth Sleepiness Scale Amp Snoring Questionnaire

Epworth Sleepiness Scale & Snoring Questionnaire Would never doze or sleep Slight chance of dozing or sleeping Moderate chance of dozing or sleeping High chance of dozing or sleeping 1. Sitting.

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How to fill out the Epworth Sleepiness Scale and Snoring Questionnaire online

The Epworth Sleepiness Scale and Snoring Questionnaire is a valuable tool for assessing daytime sleepiness and snoring habits. Completing this questionnaire online can help identify potential sleep concerns and guide you towards appropriate actions or treatments.

Follow the steps to complete the questionnaire with ease.

  1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred document editor.
  2. Begin with the Epworth Sleepiness Scale section. For each activity listed, indicate your likelihood of dozing by selecting a number from 0 to 3, where 0 represents 'would never doze' and 3 signifies 'high chance of dozing'.
  3. Once you complete the sleepiness scale, proceed to the Snoring Questionnaire section. Here, check all symptoms that apply to you. This may include experiencing restlessness during sleep, snoring every night, or feeling tired all the time.
  4. In the Snoring Questionnaire, provide additional details regarding your symptoms, such as recent weight gain and any surgical history. Include the dates of relevant procedures if applicable.
  5. Answer the questions about previous treatments related to snoring and sleep apnea. For each question, select 'yes' or 'no' and provide additional information where necessary.
  6. Finally, fill in your name and the date of completion at the bottom of the form to ensure your responses are recorded accurately.
  7. After filling out the form, review your entries for accuracy. You can then save your changes, download the questionnaire, print it, or share it as needed.

Complete the Epworth Sleepiness Scale and Snoring Questionnaire online today for a better understanding of your sleep health.

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The Epworth sleepiness scale (ESS) is often used clinically to screen for the manifestations of the behavioral morbidity associated to obstructive sleep apnea (OSA). The purpose of this study was to assess the sensitivity of the ESS in the identification of OSA, as defined by an elevated apnea-hypopnea index.

For instance, scores of 11-15 are shown to indicate the possibility of mild to moderate sleep apnea, where a score of 16 and above indicates the possibility of severe sleep apnea or narcolepsy.

The ESS was also able to differentiate patients who snored, but had normal sleep, from patients with OSA. Normal patients had a mean ESS of 5.9, while patients who snored but had no sleep disorder had a mean ESS of 6.5.

0-7: It is unlikely that you are abnormally sleepy. 8-9: You have an average amount of daytime sleepiness. 10-15: You may be excessively sleepy depending on the situation. You may want to consider seeking medical attention.

Conditions the ESS may indicate A score of 11 or higher represents excessive daytime sleepiness which could be a sign of a sleep disorder or medical condition. If you score 11 or higher, your doctor may recommend you see a sleep specialist.

Scores can be interpreted as follows: 0-5 lower normal daytime sleepiness. 6-10 normal daytime sleepiness. 11-12 mild excessive daytime symptoms.

The questionnaire takes no more than 2 or 3 minutes to answer. It is available in many different languages. The 1997 version of the ESS is the standard version that can be used by most adults. A license is needed to use it, whether or not license fees are payable.

Reference range of normal ESS scores By this criterion, the reference range of 'normal' ESS scores is zero to 10. That is the same as the range defined by the 2.5 and 97.5 percentiles.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232