Sinus Quiz

Sinus Quiz

  • Rate each item below based on the severity and frequency of your symptoms. No Problem Very Mild Problem Mild or Slight Problem Moderate Problem Severe Problem Problem as bad as it can be
    0 1 2 3 4 5
    1. Need to blow nose
    2. Sneezing
    3. Runny Nose
    4. Nasal Obstruction
    5. Loss of smell or taste
    6. Cough
    7. Post-nasal Discharge
    8. Thick Nasal Discharge
    9. Ear Fullness
    10. Dizziness
    11. Ear Pain
    12. Facial Pain/Pressure
    13. Difficulty falling asleep
    14. Waking up at night
    15. Lack of a good night’s sleep
    16. Waking up tired
    17. Fatigue
    18. Reduced Productivity
    19. Reduced Concentration
    20. Frustrated/Restless/Irritable
    21. Sadness
    22. Embarrassed
    Total Score

 

Score Explanation
Score Evaluation Recommended Next Step
0 to 10 No Problem No actions necessary or symptoms can be treated with off-the-counter medication.
11 to 40 Moderate Problem An appointment with a specialist is recommended and/or prescription medicine can be taken to treat symptoms.
41 to 69 Moderate to severe An appointment with a specialist is recommended to determine the best treatment options.
70 to 100 Severe to “as bad as it can be” An appointment with a specialist is recommended, treatment to be determined by doctor. Possible surgical candidate.

* The evaluation is to be used as a guide and not a physician’s diagnosis. Treatment to be determined by a doctor upon appointment.