What’s Your Sinus IQ?

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 ticking the radio button that corresponds with how you feel.

Complete the following Sinus Self-Assessment Quiz and someone from our office will contact you about your results.

None

Slight

Mild

Bad

Intense

Severe

1. Clogged nose

x

x

x

x

x

x

2. Runny nose

x

x

x

x

x

x

3. Post nasal discharge

x

x

x

x

x

x

4. Thick nasal discharge

x

x

x

x

x

x

5. Facial pain / pressure

x

x

x

x

x

x

6. Fatigue

x

x

x

x

x

x

7. Need to blow nose

x

x

x

x

x

x

8. Loss of smell or taste

x

x

x

x

x

x

9. Ear fullness

x

x

x

x

x

x

10. Difficulty falling asleep

x

x

x

x

x

x

11. Waking up at night

x

x

x

x

x

x

12. Lack of good night's sleep

x

x

x

x

x

x

13. Waking up tired

x

x

x

x

x

x

14. Reduced productivity

x

x

x

x

x

x

15. Frustrated / irritable

x

x

x

x

x

x

16. Reduced concentration

x

x

x

x

x

x

17. Embarrassed

x

x

x

x

x

x

18. Sad

x

x

x

x

x

x

19. Ear pain

x

x

x

x

x

x

20. Cough

x

x

x

x

x

x

0 points

(20 questions left)

No Problem

Your sinus symptoms have relatively minor effects on your quality of life.

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