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Clinical Calculator

Epworth Sleepiness Scale — Daytime Sleepiness Test

Measure your daytime sleepiness level using the Epworth Sleepiness Scale (ESS) to assess potential sleep disorder risks.

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?
1. Sitting and reading
2. Watching television
3. Sitting inactive in a public place (e.g., a theater or a meeting)
4. As a passenger in a car for an hour without a break
5. Lying down to rest in the afternoon when circumstances permit
6. Sitting and talking to someone
7. Sitting quietly after a lunch without alcohol
8. In a car, while stopped for a few minutes in traffic
Daytime Sleepiness Level
Normal
Your score is in the normal range.

What is the Epworth Sleepiness Scale?

The Epworth Sleepiness Scale (ESS) is a standardized self-report questionnaire used to measure excessive daytime sleepiness. Developed in 1990 by Dr. Murray Johns at Epworth Hospital in Melbourne, Australia, it is now a standard tool in sleep medicine clinics worldwide.

Clinical Assessment

The tool asks you to rate your likelihood of dozing off in 8 common daily scenarios, scored from 0 (Never) to 3 (High chance). Total scores are interpreted as follows:

  • 0–10: Normal daytime sleepiness.
  • 11–12: Mild excessive daytime sleepiness.
  • 13–15: Moderate excessive daytime sleepiness.
  • 16–24: Severe excessive daytime sleepiness.

A score of 10 or higher suggests excessive daytime sleepiness, which can indicate sleep disorders like obstructive sleep apnea (OSA), narcolepsy, or chronic sleep deprivation.

Frequently Asked Questions

Common causes include poor sleep hygiene, chronic sleep deprivation, obstructive sleep apnea, restless legs syndrome, and insomnia.
Sleep apnea is diagnosed using a sleep study (polysomnography), which monitors breathing, oxygen levels, and brain activity during sleep, either in a clinic or at home.
Caffeine masks sleepiness temporarily but does not replace restorative sleep. Relying heavily on caffeine can disrupt nighttime sleep cycles, worsening daytime sleepiness.
Specialty: Sleep Medicine & Circadian Science
Affiliation: Harvard Medical School (Division of Sleep)
Medical Board Cert #389-S

Dr. Vikram Seth is a dual-certified sleep specialist researching non-pharmacological interventions for sleep apnea and chronic insomnia.

⚠️ Clinical Disclaimer: This tool is provided for educational and screening purposes only. It is not a substitute for professional clinical judgement, diagnosis, or treatment plans. Always discuss clinical findings with a qualified physician.

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