Airway Screening

  • Epworth Sleepiness Scale

    In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? Use the following scale to choose the most appropriate number for each situation.

    0 = would never dose
    1 = slight chance of dozing
    2 = moderate chance of dozing
    3 = high chance of dozing

    Situation:

  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • A score of 8 or greater indicates the possibility of sleep disordered breathing.

  • Thornton Snoring Scale

    Snoring has a significant effect on the quality of life for many people. Snoring can affect the person snoring and those around him/her both physically and emotionally. Use the scale to choose the most appropriate number for each situation. (Go to 4th statement if have no bed partner).

    0 = never
    1 = infrequently (1 night per week)
    2 = frequently (2-3 nights per week)
    3 = most of the time (4+ nights per week)

    Situation:

  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • A score of 5 or greater indicates your snoring may be significantly affecting your quality of life.

  • Date Format: MM slash DD slash YYYY

  • This field is for validation purposes and should be left unchanged.

Pin It on Pinterest

Share This