SINUS SURVEY (SNOT-20)

Consider how severe the problem is when you experience it and how frequently it happens. Please rate each item below on how “bad” it is by selecting the button that corresponds with how you feel.

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Need to blow nose
Sneezing
Runny nose
Cough
Post-nasal discharge
Thick nasal discharge
Ear fullness
Dizziness
Ear pain
Facial pain / pressure
Difficulty falling asleep
Wake up at night
Lack of sleep
Wake up tired
Fatigue
Reduced productivity
Reduced concentration
Frustrated / restless / irritable
Sad
Embarrassed
You received a score of 0
No problem to mild problem: You are not experiencing common signs of sinus issues. However, if you are experiencing other symptoms not listed here, please contact our office for a consultation.
Moderate problem: An appointment with a specialist or your Primary Care Physician is recommended and/or prescription medicine can be taken to treat symptoms.
Moderate to severe: An appointment with a specialist or your Primary Care Physician is recommended and/or prescription medicine can be taken to treat symptoms.
Severe to “as bad as it can be”: An appointment with a specialist is recommended, treatment to be determined by the doctor.