How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?
This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you.
Use this service to submit a routine review of your sleepiness in certain situations.
You can use this service if you:
- are registered at the surgery
- have been invited to do so
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
Important: Please note
If you submit this request after 4pm on a working day, it will be opened when we re-open on the next working day. The practice is closed over the weekend.