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ADULT
PEDIATRIC
DATE
DATE
Sitting and Reading
Sitting and Reading
Sitting Inactive in a Public Place
Sitting Inactive in a Public Place
Lying down to rest in the afternoon when you can
Lying down to rest in the afternoon when you can
Sitting quietly after lunch without alcohol
Sitting quietly after lunch
Watching TV
Watching TV
As a passenger in a car for an hr and no break
As a passenger in a car for an hr and no break
Sitting and Talking to Someone
Sitting and Talking to Someone
In a car while stopped for few mins in traffic
While playing Video Games
Total item 1-8
Total item 1-8

Prana The Epworth Sleepiness Scale Medical Form

Pulmonologist

There are 2 copies in use.
Published: April 29, 2019, 9:07 a.m.
Doctor: Dr. History Physical
Rating: 0   /

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