Form preview

Get the free EPWORTH SLEEPINESS SCALE - deaconesscom

Get Form
8124503852 EPWORTH SLEEPINESS SCALE Today's Date: Patient Age: Patient Name: Patient Sex (circle one): M F How likely are you to doze off or fall asleep in the following situations, in contrast to
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign epworth sleepiness scale

Edit
Edit your epworth sleepiness scale form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your epworth sleepiness scale form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing epworth sleepiness scale online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit epworth sleepiness scale. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
It's easier to work with documents with pdfFiller than you could have believed. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out epworth sleepiness scale

Illustration

How to fill out the Epworth Sleepiness Scale:

01
Read the instructions carefully before starting. The Epworth Sleepiness Scale is a simple questionnaire that measures the level of daytime sleepiness. It consists of 8 scenarios that require you to rate your chances of dozing off or falling asleep on a scale of 0-3.
02
Begin by rating each scenario based on your normal, everyday activities. Consider how likely you are to doze off or fall asleep in each situation, regardless of whether you have actually experienced it. Use the following scale for your responses:
2.1
0: Would never doze off or fall asleep.
2.2
1: Slight chance of dozing off or falling asleep.
2.3
2: Moderate chance of dozing off or falling asleep.
2.4
3: High chance of dozing off or falling asleep.
03
Answer each question honestly and accurately. The scenarios in the Epworth Sleepiness Scale cover typical daily activities such as sitting and reading, watching TV, or sitting in a car. Reflect on your personal experiences and how likely you are to feel sleepy in these situations.
04
Once you have rated all 8 scenarios, add up your scores to get your total score out of 24. Higher scores indicate a higher level of daytime sleepiness. This score can help you and your healthcare provider determine if further evaluation for a potential sleep disorder is necessary.

Who needs the Epworth Sleepiness Scale?

01
The Epworth Sleepiness Scale is commonly used by healthcare professionals to evaluate excessive daytime sleepiness in individuals. It can be helpful for people who suspect they may have a sleep disorder, such as sleep apnea or narcolepsy, or those experiencing persistent fatigue or drowsiness during the day.
02
Additionally, the Epworth Sleepiness Scale is used in research studies and clinical trials to assess the efficacy of treatments for sleep disorders or daytime sleepiness. Researchers and scientists rely on this scale to obtain quantitative data for their studies.
03
Anyone who wants to gain insights into their own level of daytime sleepiness can also benefit from using the Epworth Sleepiness Scale. It can provide a baseline for self-assessment and help individuals better understand their sleep patterns and quality of rest.
Overall, the Epworth Sleepiness Scale serves as a valuable tool for both healthcare professionals and individuals to assess daytime sleepiness and identify potential sleep-related issues that may require further evaluation or intervention.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
31 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Epworth Sleepiness Scale is a questionnaire used to assess a person's daytime sleepiness.
Individuals who are experiencing excessive daytime sleepiness or suspected of having a sleep disorder may be required to fill out the Epworth Sleepiness Scale.
To fill out the Epworth Sleepiness Scale, individuals must rate their likelihood of falling asleep in different situations on a scale of 0 to 3.
The purpose of the Epworth Sleepiness Scale is to help healthcare professionals assess the severity of daytime sleepiness in individuals.
The Epworth Sleepiness Scale requires individuals to report their likelihood of falling asleep in different situations, such as sitting and reading, watching TV, or sitting in a car.
pdfFiller’s add-on for Gmail enables you to create, edit, fill out and eSign your epworth sleepiness scale and any other documents you receive right in your inbox. Visit Google Workspace Marketplace and install pdfFiller for Gmail. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly.
To distribute your epworth sleepiness scale, simply send it to others and receive the eSigned document back instantly. Post or email a PDF that you've notarized online. Doing so requires never leaving your account.
With pdfFiller's add-on, you may upload, type, or draw a signature in Gmail. You can eSign your epworth sleepiness scale and other papers directly in your mailbox with pdfFiller. To preserve signed papers and your personal signatures, create an account.
Fill out your epworth sleepiness scale online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.