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Pankey Clinical Exam Questions
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Pankey Clinical Exam Questions
Name
Date
Phone
Email
Sitting and Reading
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
Watching TV
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
Sitting, inactive in a public place (e.g. a theatre or a meeting)
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
As a passenger in a car for an hour without a break
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
Lying down to rest in the afternoon when circumstances permit
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
Sitting and talking to someone
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
Sitting quietly after lunch without alcohol
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
In a car, while stopped for a few minutes in traffic
Would never doze
Slight chance of dozing
Moderate chance of dozing
High chance of dozing
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