Use our readymade template to create your Stanford Sleepiness Scale (SSS) assessment tool for measuring daytime sleepiness
Create your care assessments
| SSS score | Degree of Sleepiness |
|---|---|
| 1 | Feeling active, vital, alert, or wide awake |
| 2 | Functioning at high levels, but not at peak; able to concentrate |
| 3 | Awake, but relaxed; responsive but not fully alert |
| 4 | Somewhat foggy, let down |
| 5 | Foggy; losing interest in remaining awake; slowed down |
| 6 | Sleepy, woozy, fighting sleep; prefer to lie down |
| 7 | No longer fighting sleep, sleep onset soon; having dream-like thoughts |
- Prebuilt template with SSS scoring to assess the degree of sleepiness in patients
- 7-item questionnaire that scores each item from “1” (Feeling active, vital, alert, or wide awake) to “7” (No longer fighting sleep, sleep onset soon; having dream-like thoughts)
- Real-time calculation of SSS Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of daytime sleepiness
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1005 |
| Patient Name | Jane D |
| Patient Email | janed@ymail.com |
| Patient Phone Number | 1234567890 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| Degree of Sleepiness | Foggy; losing interest in remaining awake; slowed down |
| SSS Score | 5 |
- Collect patient details such as patient id, name, email etc in the SSS assessment form
- Send an email invitation with a secure link for patients to complete their SSS assessment form prior to their visit
- Allow patients to save their progress and complete their SSS assessment form at a later time without losing any responses
- Set up an email template for your SSS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their SSS score, next steps when they submit their SSS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | Jane D | Degree of Sleepiness | Foggy; losing interest in remaining awake; slowed down | 5 | 5 |
- Export patient responses including the calculated SSS score to Google Sheets for easy record-keeping
- Export individual points for each degree of sleepiness to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their daytime sleepiness
- Receive a copy of the response and the calculated SSS score by email whenever a patient submits their SSS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1005 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| Degree of Sleepiness: | Foggy; losing interest in remaining awake; slowed down |
| SSS Score: | 5 |
| SSS Score: | 5 |
- Create a HIPAA compliant SSS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting SSS form responses to Google Sheets and sending them on email
- Prepopulate patient details in SSS assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
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October 31, 2023
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February 16, 2024
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July 12, 2023
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November 27, 2023
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July 10, 2023
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