Send the Epworth Sleepiness Scale digitally to your patients. With Coflow, they answer on their phone or computer before their appointment, with no app and no login.
The total is scored the moment they submit and banded to Johns’ published bands. The score is waiting for you on the task, and responses write back to your practice management system.
ESS
Sitting and reading*
Nothing selected
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
Coflow forms are flexible and mobile responsive. Patients fill it in on any phone or computer, with no app and no login. Scored forms are scored automatically when the patient submits.
Ready to send it digitally?
Add your logo and send the ESS to patients by SMS or email with Coflow. Book a demo and we’ll set it up with you.
Epworth Sleepiness Scale (ESS)
Daytime sleepiness in eight everyday situations
How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling 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.
| Question | 0 | 1 | 2 | 3 | |
|---|---|---|---|---|---|
| 1 | Sitting and reading | 0 | 1 | 2 | 3 |
| 2 | Watching TV | 0 | 1 | 2 | 3 |
| 3 | Sitting inactive in a public place (for example, a theatre or a meeting) | 0 | 1 | 2 | 3 |
| 4 | As a passenger in a car for an hour without a break | 0 | 1 | 2 | 3 |
| 5 | Lying down to rest in the afternoon when circumstances permit | 0 | 1 | 2 | 3 |
| 6 | Sitting and talking to someone | 0 | 1 | 2 | 3 |
| 7 | Sitting quietly after a lunch without alcohol | 0 | 1 | 2 | 3 |
| 8 | In a car, while stopped for a few minutes in traffic | 0 | 1 | 2 | 3 |
Scoring the ESS
For the practitioner. Detach before handing the questionnaire to a patient.
| Scale | How | Range | Score | Band |
|---|---|---|---|---|
| Daytime sleepiness | Add up items 1–8 | 0–24 |
| Daytime sleepiness | Score |
|---|---|
| Lower normal daytime sleepiness | 0–5 |
| Higher normal daytime sleepiness | 6–10 |
| Mild excessive daytime sleepiness | 11–12 |
| Moderate excessive daytime sleepiness | 13–15 |
| Severe excessive daytime sleepiness | 16–24 |
The ESS measures how likely a person is to doze in everyday situations. It is a screening measure, not a diagnosis: read the score alongside your own clinical assessment.
Send the ESS digitally
Patients answer on their phone or computer before they arrive, with no app or login. Coflow sends a reminder if they don’t finish, scores it the moment they submit, and files it into your PMS.
We’ll show you the ESS in Coflow and set it up with you.
Start with the free PDF
We’ll email you the printable ESS and its scoring guide, plus a few ideas for moving your questionnaires online when you’re ready.
On its way. Check your inbox, or download it now.
Download the PDFBook a demo and we’ll show you how Coflow sends forms by SMS or email, collects e-signatures and files answers into your practice management software.