Sleep Questionnaire

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  • Highly likely (score=3)Moderately likely (score=2)Slightly likely (score=1)Never (score=0)
    Sitting and reading
    Watching TV
    Sitting, inactive in a public place eg Theatre or 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 lunch (no alcohol)
    In a car, while stopped for a few minutes in the traffic
    This survey is a simple measure of how sleepy you are during the day. They are not a measure of how fatigued you are. It is a measure of sleepiness. On an ordinary day (assume you are not at work) in the noted situations, how likely are you to doze off to sleep?
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