Take Our Sinus Quiz | Renew ENT

Skip to content

About Us
Contact Us
Bill Pay

Providers
ENT Care
Resources
About Us
Contact Us
Bill Pay
Schedule an Appointment

Take Our Sinus Quiz

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.

This field is hidden when viewing the form

Total Quiz Score

This field is hidden when viewing the form

1. Clogged nose

This field is hidden when viewing the form

2. Runny nose

This field is hidden when viewing the form

3. Post nasal discharge

This field is hidden when viewing the form

4. Thick nasal discharge

This field is hidden when viewing the form

5. Facial pain / pressure

This field is hidden when viewing the form

6. Fatigue

This field is hidden when viewing the form

7. Need to blow nose

This field is hidden when viewing the form

8. Loss of smell or taste

This field is hidden when viewing the form

9. Ear fullness

This field is hidden when viewing the form

10. Difficulty falling asleep

This field is hidden when viewing the form

11. Waking up at night

This field is hidden when viewing the form

12. Lack of good night's sleep

This field is hidden when viewing the form

13. Waking up tired

This field is hidden when viewing the form

14. Reduced productivity

This field is hidden when viewing the form

15. Frustrated / irritable

This field is hidden when viewing the form

16. Reduced concentration

This field is hidden when viewing the form

17. Embarrassed

This field is hidden when viewing the form

18. Sad

This field is hidden when viewing the form

19. Ear pain

This field is hidden when viewing the form

20. Cough

First Name(Required)

Last Name(Required)

Phone(Required)

Email(Required)

Comments

CAPTCHA

Email

This field is for validation purposes and should be left unchanged.

7300 France Avenue South, Suite 420 Edina, Minnesota 55435

Helpful Links

About Us
Contact Us
Bill Pay
Notice of Privacy Practices
Good Faith Estimate
Debt Fairness Act Notice

Visit Renew Plastic Surgery for Elevated Specialty Care

Renew Plastic Surgery

© 2024 Renew ENT & Hearing Center. All Rights Reserved.

Sitemap.
Privacy Policy.
Notice of Non-Discrimination.
Terms of Use.