Pediatric Epworth Sleepiness Scale Calculator (ESS-CHAD)

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Chance of dozing or falling asleep while sitting and reading.
Chance of dozing while watching TV or a video.
Chance of dozing in a school classroom during the morning.
Chance of dozing while riding as a passenger for about 30 minutes.
Chance of actually falling asleep when lying down to rest in the afternoon.
Chance of dozing while sitting and having a conversation.
Chance of dozing when sitting quietly alone after lunch. The ESS-CHAD omits the adult scale's "without alcohol" wording for this item.
Chance of dozing while sitting and eating a meal. This replaces the adult ESS question about driving.
ESS-CHAD ScoreLower normal daytime sleepiness
0/ 24

Sum of all 8 question scores (0-24)

Sleepiness CategoryLower normal daytime sleepiness
Points above normal0
0 points
Lower normal<5Higher normal5-10Mild EDS10-12Moderate EDS12-15Severe EDS15+

ESS-CHAD score 0/24: Lower normal daytime sleepiness.

  • A score of 10 or below is considered within the normal range for daytime sleepiness in children and adolescents.
  • Continue monitoring sleep habits, aiming for the recommended 9-11 hours per night for school-age children and 8-10 hours for teenagers.
  • The ESS-CHAD is a screening tool, not a diagnosis. Results should always be reviewed by a qualified clinician alongside a full sleep history and physical examination.

Next stepMaintain consistent sleep and wake times, limit screen exposure before bed, and re-assess with this scale if daytime sleepiness becomes a concern.

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