Stanford Sleepiness Scale Name * First Name Last Name Email * Phone * (###) ### #### Preferred contact * Phone Email Stanford Sleepiness Scale * Please choose the below value that indicates your CURRENT level of sleepiness. (1) Feeling active and vital; alert; wide awake (2) Functioning at a high level, but not at peak; able to concentrate (3) Relaxed; awake; not at full alertness; responsive (4) A little foggy; not at peak; let down (5) Fogginess; beginning to lose interest in remaining awake; slowed down (6) Sleepiness; prefer to be lying down; fighting sleep; woozy (7) Almost in reverie; sleep onset soon; lost struggle to remain awake Thank you!