Lakeside Sleep Quiz
Situation
Chance of dozing
Sitting and reading
(0) None
(1) Slight
(2) Moderate
(3) High
Watching television
(0) None
(1) Slight
(2) Moderate
(3) High
Sitting, inactive in a public place (e.g., theater or meeting)
(0) None
(1) Slight
(2) Moderate
(3) High
As a passenger in a car for an hour without a break
(0) None
(1) Slight
(2) Moderate
(3) High
Lying down to rest in the afternoon when circumstances permit
(0) None
(1) Slight
(2) Moderate
(3) High
Sitting and talking quietly to someone
(0) None
(1) Slight
(2) Moderate
(3) High
Sitting quietly after lunch without alcohol
(0) None
(1) Slight
(2) Moderate
(3) High
In a car, while stopped for a few minutes in traffic
(0) None
(1) Slight
(2) Moderate
(3) High
TOTAL
IMPORTANT
- A score of
(10) Mild
or greater may indicate that you are suffering from a sleep disorder that may affect you health. Please take this questionnaire to your doctor for testing, diagnosis and treatment