CRC Epworth Sleepiness Quiz

Please take the Chinook Respiratory Care Sleepiness Quiz

The Epworth Sleepiness Quiz is a questionnaire used by Chinook Respiratory Care to gauge how likely are you to doze off or fall asleep in certain situations.

1. Fill in the required fields (Name, E-mail, Date, Age, Sex)
2. Answer the questions as to how sleepy you may be.
3. Check off ONLY One answer per question and note the score (0-3)
4. When you have completed the questions, fill in the total score from your answers
5. Check results and submit your form to Chinook Respiratory Care for further information

Download Questionnaire here