Epworth Sleepiness Scale Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- 0: Would never doze off
- 1: Slight chance of dozing off
- 2: Moderate chance of dozing off
- 3: High chance of dozing off
- 0: Would never doze
- 1: Slight chance of dozing
- 2: Moderate chance of dozing
- 3: High chance of dozing
- 0: would never doze
- 1: slight chance of dozing
- 2: moderate chance of dozing
- 3: high chance of dozing
Epworth Sleepiness Scale Test - Description and methodology of the test
People who notice frequent daytime dozing or uncertainty about their alertness may use the Epworth Sleep Test as a focused self-report check. In this format, the Epworth Sleepiness Scale Test organizes how easily sleep may occur during routine activities, helping the respondent consider recent sleepiness alongside sleep habits, medicines, health conditions, and changes in daily functioning.
What This Assessment Explores
The questionnaire examines the tendency to doze rather than asking whether someone simply feels tired. Its situations cover reading, television, public events, car travel, afternoon rest, conversation, sitting after lunch, and waiting in traffic. Together, they sample alertness across passive, social, seated, reclining, and travel-related contexts.
As a sleepiness test, the result summarizes how readily sleep may intrude during daytime activities. The Sleepiness Scale spans 0-24; the displayed bands are:
- Normal to borderline (0-10) indicates generally limited or borderline daytime sleepiness.
- Mild to moderate (11-15) indicates increasingly elevated sleepiness.
- High sleepiness (16-24) indicates marked sleepiness, may signal obstructive sleep apnea risk, and can warrant specialist consultation.
The number describes severity, not its cause, and should be read in context.
Methodology and Scientific Basis
Each item presents an everyday situation with four ordered responses, from never dozing to a high chance of dozing. In an ESS test, selected values run from 0 to 3 and are combined into one score. The method asks about perceived likelihood, not recorded sleep episodes, so it captures a person’s propensity to doze in familiar circumstances.
The Epworth Sleepiness Scale (Johns, 1991) is the source instrument for this structure. Johns (1992) examined reliability and factor structure, while Kingshott, Douglas, and Deary (1998) studied item behavior in people with sleep apnea. Kendzerska and colleagues (2014) reviewed measurement properties across studies. This questionnaire is conceptually consistent with that work, but this online presentation is not a new validation of the published instrument.
Interpretation should consider current sleep loss, medications, mood, shift schedules, illness, and self-awareness. Honest answers improve usefulness, yet a single score cannot identify why sleepiness occurs. A high result is best read alongside the broader sleep and health picture, especially when dozing affects driving, work, or safety.
- Johns, M. W. (1991). A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 14(6), 540-545. 10.1093/sleep/14.6.540
- Johns, M. W. (1992). Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep, 15(4), 376-381. 10.1093/sleep/15.4.376
- Kingshott, R., Douglas, N., & Deary, I. (1998). Mokken scaling of the Epworth Sleepiness Scale items in patients with the sleep apnoea/hypopnoea syndrome. Journal of Sleep Research, 7(4), 293-294. 10.1046/j.1365-2869.1998.00126.x
- Kendzerska, T. B., Smith, P. M., Brignardello-Petersen, R., Leung, R. S., & Tomlinson, G. A. (2014). Evaluation of the measurement properties of the Epworth sleepiness scale: a systematic review. Sleep Medicine Reviews, 18(4), 321-331. 10.1016/j.smrv.2013.08.002
Updated: