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*MR1M×CLEAR Community Record Number:............................. Adm. Number:.......................... Please tick which Epworth site you are being admitted to:Given Name..............................................................................................
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01
Read each question carefully.
02
Consider how likely you are to doze off or fall asleep in each situation described.
03
Choose the number that best represents your chance of dozing off. The scale ranges from 0-3, with 0 meaning no chance of dozing off and 3 meaning a high chance of dozing off.
04
Mark the chosen number in the corresponding box beside each question.
05
Review your answers to ensure they are accurate and complete.
06
Submit the filled-out Epworth Sleepiness Scale.

Who needs please tick which epworth?

01
The Epworth Sleepiness Scale is used to assess the level of daytime sleepiness experienced by individuals. It is commonly used by healthcare professionals to evaluate patients who may be suffering from sleep disorders or excessive daytime sleepiness.
02
People who have symptoms of excessive daytime sleepiness, such as constant fatigue, difficulty staying awake during activities, or excessive dozing off, may need to fill out the Epworth Sleepiness Scale.
03
It can also be used in research studies to measure and compare sleepiness levels among different populations or to track changes in sleepiness over time in individuals.
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