Aller au contenu principal

Screening tests

Daytime sleepiness

Epworth Sleepiness Scale (ESS)

The Epworth Sleepiness Scale measures sleepiness during the day, one of the main symptoms of sleep apnea. Developed in 1991 by Dr Murray Johns at the Epworth Hospital in Melbourne, which gave it its name, it is now used around the world.

3 minutes · 8 situations, scored 0 to 3 · Clinically validated

Updated on 28 October 2026 · By Andy Leleux, sleep technologist

This questionnaire is a screening tool. A high score should lead to a medical appointment: it may point to sleep apnea, but also to other conditions such as narcolepsy or restless legs syndrome.

How to answer

How likely are you to doze off or fall asleep in the situations described below, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you haven't done some of these things recently, try to work out how they would have affected you.

0

Never

Would never doze

1

Slight

Slight chance of dozing

2

Moderate

Moderate chance of dozing

3

High

High chance of dozing

How likely are you to doze off?

0 / 8 answered
1

Sitting and reading

2

Watching TV

3

Sitting, inactive in a public place (e.g. a theatre or a meeting)

4

As a passenger in a car for an hour without a break

5

Lying down to rest in the afternoon when circumstances permit

6

Sitting and talking to someone

7

Sitting quietly after a lunch without alcohol

8

In a car, while stopped for a few minutes in the traffic

Total score

- / 24

0 to 10

Normal range

11 to 12

Excessive, mild

13 to 15

Excessive, moderate

16 to 24

Excessive, severe

Threshold for excessive sleepiness: above 10 (Johns and Hocking, 1997). The subdivision above it is the one commonly published.

Understanding your score

A score of 0 to 10 is considered within the normal range. Most healthy adults do not fall asleep in passive situations.

Above 10, this is excessive daytime sleepiness (Johns and Hocking, 1997). It is called mild from 11 to 12, moderate from 13 to 15.

At 16 or more, sleepiness is called severe: talk to your doctor soon, especially if you drive. Untreated sleep apnea increases the risk of a road accident two- to threefold.

The scale measures sleepiness, not sleep apnea itself. Narcolepsy, restless legs syndrome or chronic lack of sleep can also produce a high score.

What next?

Show your result to your GP or your pulmonologist: only they can interpret it. Sleepiness has many causes, and sleep apnea is only one of them.

Sources

  1. Johns MW. A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale. Sleep. 1991;14(6):540-5.
  2. Johns M, Hocking B. Daytime Sleepiness and Sleep Habits of Australian Workers. Sleep. 1997;20(10):844-9.
  3. Luzzi V, et al. Correlations of OSA and Daytime Sleepiness With the Risk of Car Accidents. J Clin Med. 2022;11(14):3971.

Be the first to rate this page

Was this page useful?