Please select the answer that fits best then click Submit to add all of the numbers.

SITUATION
A. Sitting and/or Reading
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

B. Watching Television
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

C. Sitting or Inactive in a Public Place
(e.g., a theatre or a meeting)
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

D. As a Passenger in a Car for an Hour Without a Break
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

E. Lying Down to Rest in the Afternoon When Circumstances Permit
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

F. Sitting and Talking to Someone
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

G. Sitting Quietly After Lunch Without Alcohol
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One

H. In a Car While Stopped for a Few Minutes in Traffic
0-Would Never Doze or Fall Asleep 1-Sometimes Doze or Fall Asleep 2-Often Doze or Fall Asleep 3-Almost Always Doze or Fall Asleep Select One