Get the free Epworth Scale

Get Form

Show details

Epworth Scale Patient Name: Date: Please answer how likely you are to doze off or fall asleep in the following situations. Use the scale provided below. 0 Would Never Doze 1 Slight Chance of Dozing

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign epworth scale

Edit your epworth scale form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your epworth scale form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit epworth scale online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

Follow the steps below to use a professional PDF editor:

1

Set up an account. If you are a new user, click Start Free Trial and 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 scale. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.

4

Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.

With pdfFiller, it's always easy to work with documents. Try it out!

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.

Learn more about security & compliance

How to fill out epworth scale

How to fill out the Epworth Scale:

01

Start by rating your likelihood of dozing off or falling asleep in eight different situations on a scale of 0 to 3. The situations include sitting and reading, watching TV, sitting inactive in a public place (e.g., a theater or a 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 a lunch without alcohol, and in a car while stopped for a few minutes in traffic.

02

For each situation, choose the most appropriate number (0, 1, 2, or 3) that represents your likelihood of dozing off. The higher the number, the greater the chance of dozing off.

03

Once you have selected a number for each situation, add up all the values to get a total score between 0 and 24. This score indicates your level of daytime sleepiness.

04

You can interpret the score as follows: a score of 0-7 suggests normal daytime sleepiness, 8-9 signifies slight daytime sleepiness, 10-15 indicates moderate daytime sleepiness, and 16 or higher represents excessive daytime sleepiness.

Who needs the Epworth Scale?

01

Individuals with symptoms of excessive daytime sleepiness should consider using the Epworth Scale. Excessive daytime sleepiness can be a sign of various sleep disorders, such as obstructive sleep apnea, narcolepsy, or insomnia.

02

Healthcare professionals, including doctors and sleep specialists, often use the Epworth Scale to assess the severity of daytime sleepiness and guide diagnosis and treatment decisions.

03

Employers or occupational health professionals may also use the Epworth Scale in certain industries where daytime sleepiness can pose a safety risk, such as transportation or shift work.

04

Researchers studying sleep disorders or sleep-related issues may incorporate the Epworth Scale into their studies to evaluate the prevalence and impact of excessive daytime sleepiness in specific populations.

Overall, anyone experiencing excessive daytime sleepiness or involved in sleep-related research or healthcare can benefit from using the Epworth Scale to understand and address the issue.

Fill form : Try Risk Free

Rate the form

4.7

Satisfied

60 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.

How can I edit epworth scale from Google Drive?

By integrating pdfFiller with Google Docs, you can streamline your document workflows and produce fillable forms that can be stored directly in Google Drive. Using the connection, you will be able to create, change, and eSign documents, including epworth scale, all without having to leave Google Drive. Add pdfFiller's features to Google Drive and you'll be able to handle your documents more effectively from any device with an internet connection.

Where do I find epworth scale?

The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific epworth scale and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.

How do I fill out the epworth scale form on my smartphone?

Use the pdfFiller mobile app to fill out and sign epworth scale. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to learn more about our mobile applications, their features, and how to get started.

What is epworth scale?

Epworth Scale is a questionnaire used to assess the likelihood of falling asleep in different situations.

Who is required to file epworth scale?

Individuals with sleep disorders or those being evaluated for sleep disorders may be required to complete the Epworth Scale by healthcare professionals.

How to fill out epworth scale?

To fill out the Epworth Scale, individuals rate their likelihood of falling asleep on a scale from 0 to 3 for eight different situations.

What is the purpose of epworth scale?

The purpose of the Epworth Scale is to measure daytime sleepiness and assess the risk of excessive daytime sleepiness.

What information must be reported on epworth scale?

The Epworth Scale requires individuals to report their likelihood of falling asleep in different situations such as reading, watching television, or sitting and talking to someone.

Fill out your epworth 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