_)AYTIME SLEEPINESS ASSESSMENT INVENTORY Please check (v) the response whiciibest describes your sleep for the past 4 weeks. “VON ee @ I doze off while watching TV. @ I get drowsy within 10 minutes when | sit down. | @ Hall asleep when visiting with friends. = @ [I all asleep during conversations. Tsim @® I get drowsy after driving a few minutes. | Q® I get sleepy after reading for 15 minutes. ay @ I doze off when | am relaxed. NOTE It your answer is Sometimes or Often to two or more of the above questions, you may want to discuss your sleep with your physician