The severity scale can help your healthcare professional determine how severely RLS affects you and what impact the condition is having on your daily life.
Print the Severity Scale document, fill it out and bring it along to your next appointment for your doctor's reference and evaluation.
In addition it may also be worthwhile to keep a diary of your sleep patterns for 2 weeks and bring this information along to discuss with your doctor.
Click here to download Severity Scale PDF
If you do not have Adobe Acrobat Reader you can download it here.