Symptoms of allergic rhinitis (AR) in the form of sneezing, runny nose, stuffy nose, and itchy nose which are chronic, progressive, irreversible in advanced stages can cause sleep disturbances. Allergic rhinitis can be assessed subjectively by assessing the symptoms that appear using the Total Nasal Symptom Score. Sleep disturbance can be assessed subjectively by analyzing the level of daytime fatigue using the Epworth Sleepiness Scale questionnaire. This study aims to find the relationship between the Total Nasal Symptom Score and the Epworth Sleepiness Scale in allergic rhinitis patients. This type of research is analytic observational with a cross sectional study design. The research sample was AR patients who had been treated at URJ ENT-BKL RSUD Dr. Soetomo Surabaya in the period 1 January 2019-31 December 2021 (n=115). Baseline data, TNSS, and ESS were obtained using a google form questionnaire. The collected data was filtered using exclusion criteria and then statistically analyzed using the Spearman correlation test. The two patients with normal TNSS were all known to have normal ESS. Fifty-two patients with mild TNSS were all found to have normal ESS. Forty-two patients with moderate TNSS were found to have normal ESS values of 47.62%, mild ESS of 23.81%, moderate ESS of 28.57%, and no severe ESS. Nineteen patients with severe TNSS did not have normal ESS, while 15.79% of mild ESS had mild ESS, 26.32% moderate ESS and 57.89% severe ESS. The Spearman correlation test results from the research data showed a significant relationship (p = 0.000), with a positive correlation and a strong correlation level (r = 0.785). There is a strong positive relationship between TNSS and ESS in AR patients.