Sino-Nasal Quiz

Rate the Severity of Your Sinus Symptoms
Here is a list of symptoms that are common with sinusitis conditions. Please rate the severity of the sinus symptoms you have had in the last two weeks. Remember that there is no right or wrong answer, just consider how severe your problem is when you’ve experienced it and how often it happens when you rate your symptom. Your answers will help us diagnosis your sinus condition. Please contact us if you have any questions.
HOW TO TAKE THIS TEST: Consider how severe the problem is when you experience it and how frequently it happens.
1. Need to blow nose*
2. Sneezing*
3. Runny nose*
4. Cough*
5. Post-nasal discharge*
6. Thick nasal discharge*
7. Ear fullness*
8. Dizziness*
9. Ear pain*
11. Difficulty falling asleep*
12. Wake up at night*
13. Lack of sleep*
14. Wake up tired*
15. Fatigue*
16. Reduced productivity*
17. Reduced concentration*
18. Frustrated / restless/ irritable*
19. Sad*
20. Embarrassed*
Your Score
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Email*
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Location*
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