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NEW PATIENT PROMOTION | FREE Invisalign® Smile Analysis (Valued $477)*
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NEW PATIENT PROMOTION | FREE Invisalign® Smile Analysis (Valued $477)*

THE FIRST STEP ON YOUR SMILE JOURNEY

Epworth Sleepiness Scale Questionnaire

We are looking forward to meeting you very soon to discuss your smile. To help us understand your concerns, we hope you can spare a moment to return this questionnaire with as much detail as possible.

The Epworth Sleepiness Scale (ESS) is designed to measure daytime sleepiness that is measure by a short questionnaire. This can be helpful in diagnosing sleep disorders. The questionnaire asks the subject to rate their probability of falling asleep on a scale of increasing probability from 0 to 3 for 8 situations that most people engage in their daily lives though not necessarily everyday. The scores for the 8 questions are added together to obtain a single number. 0-9 is normal, 10-24 should seek medical advice.

What is the probability of you falling asleep?
Rate the following statements
Calculate your total score above, then use the guide below to interpret your sleep habits:
Score 1 – 6: You’re getting enough sleep
Score 7 – 8: You may feel sleepy during the day
Score 9 – 15: You’re likely very sleepy
Score 16+: You may be dangerously sleepy
Once you've reviewed your score, please submit the form to share your results with your dentist for further assessment.

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