ADA Accessibility Information



Epworth Sleepiness Scale

Over the last month, how likely have you been to fall asleep while doing things that are described bellow (activities)?

Even if you haven't done some of these things in the last month, try to imagine how they would have affected you.

Use the following scale to chose one number that best describes what has been happening to you during each activity over the last month. Check a box bellow.

Chance of falling asleep:

0 = would never fall asleep
1 = slight chance of falling asleep
2 = moderate chance of falling asleep
3 = high chance of falling asleep

It is important that you answer each question as best you can



Refer a Friend
facebook button Yelp button Visit our Google page Twitter button Connect!
LOGO Tooth
727 E. Bethany Home Road
Suite # A100
Phoenix, AZ 85014-2156

Copyright © 2016-2023 Premier Valley Dental and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
TMJ Screening Survey in Phoenix, AZ | Premier Valley Dental
TMJ Screening Survey in Phoenix, AZ. We are Committed to Your Oral Health and Radiant Smile! Premier Valley Dental Will Get Your Smile Back in Phoenix AZ!
Premier Valley Dental, 727 E. Bethany Home Road A100, Phoenix AZ, 85014 : (602) 279-1641 : : 3/28/2023 : Page Terms:dentist Phoenix AZ :