MEASURING SLEEPINESS IN CHILDREN & ADOLESCENTS

Epworth Sleepiness Scale for Children and Adolescents
(ESS‑CHAD)

The ESS-CHAD can help measure your child’s level of daytime sleepiness. Help your child answer the questions below and share the results with your healthcare provider.

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

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

Activity
CHANCE OF FALLING ASLEEP

0 = Would never
fall asleepfall asleep

0 = Would never fall asleep

1 = Slight chance of
falling asleepfalling asleep

1 = Slight chance of falling asleep

2 = Moderate chance
of falling asleepof falling asleep

2 = Moderate chance of falling asleep

3 = High chance of
falling asleepfalling asleep

3 = High chance of falling asleep

Sitting and reading

Sitting and watching TV or a video

Sitting in a classroom at school
during the morning

Sitting and riding in a car or bus
for about half an hour

Lying down to rest or nap in the afternoon

Sitting and talking to someone

Sitting quietly by yourself after lunch

Sitting and eating a meal

Higher scores are associated with more daytime sleepiness. You should discuss your child’s responses and score with your healthcare provider.

Total Score : 0

Your child’s ESS-CHAD score is:

0

An ESS-CHAD score greater than 10 suggests excessive daytime sleepiness. An ESS-CHAD score of 16 or higher suggests a high level of excessive daytime sleepiness. You should discuss your child's ESS-CHAD score with your sleep specialist.

Interpreting ESS-CHAD Scores

0

10

16

24

Normal levels of
sleepiness
Suggests excessive
daytime sleepiness (EDS)
Suggests a high level of
EDS

0

10

16

24

Normal levels of
sleepiness
Suggests excessive daytime sleepiness (EDS)
Suggests a high level of
EDS

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This screening tool is not intended to make a diagnosis or take the place of an evaluation by a sleep specialist.