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Synova Sleep Screening Tool
(Modified Epworth)
   
How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently try to work out how they would have affected you. Please use the following scale to choose the most appropriate number for each situation.

0 = No chance of dozing
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing

Situation
Chance of Dozing
Sitting and Reading
Watching TV
Sitting inactive in a public place (e.g. a theater or a meeting)
As a passenger in a car for an hour without a break
lying down to rest in the afternoon when circumstances permit
Sitting and talking to someone
Sitting quietly after a lunch without alcohol
In a car, while stopped for a few minutes in traffic
If you scored ten or above, you should be seen and evaluated by your physician.

Screening for Obstructive Sleep Apnea (OSA)
  • Do you snore?
  • Are you tired during the day?
  • Have you been told you stop breathing during your sleep?
  • Do you have a history of high blood pressure?
  • Is your neck size greater than 17 inches (male) or greater than 16 inches (female)?
  • Do you have diabetes?

If you answered yes to two or more of the above questions, you should be seen and evaluated by your physician.
Related Information
   

800 Share Drive | P.O. Box 727 | Alva, OK 73717-0727 | Phone: (580) 327-2800