Identify how your sleep habits may be influencing your health. This brief, confidential assessment is a valuable first step toward better rest.
"*" indicates required fields
How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling tired? Even if you have not done some of these activities recently, try to think how you would react. Use the following scale to choose the most appropriate number rating for each situation. Answer in regards to how you are feeling in the last week or so.
0 = would NEVER doze
1 = SLIGHT chance of dozing
2 = MODERATE chance of dozing
3 = HIGH chance of dozing
Δ