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SNOT 22 Quiz

1.) 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 number that corresponds with how you feel.
Need to Blow Nose*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Sneezing*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Runny Nose*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Cough*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Post-Nassal Discharge*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Thick Nasal Discharge*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Ear Fullness*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Dizziness*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Ear Pain*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Facial Pain/Pressure*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Difficulty Falling Asleep*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Wake up at Night*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Lack of Sleep*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Wake up Tired*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Fatigue*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Reduced Productivity*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Reduced Concentration*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Frustrated/Restless/Irritable*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Sad*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Embarrassed*
- No Problem
- Very Mild Problem
- Mild or Slight Problem
- Moderate Problem
- Severe Problem
- Problem as Bad as can be
Please complete the fields below to receive your results.
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Lebanon

Regional ENT Associates

206A Babb Drive
Lebanon, TN 37087

Phone: 615-444-6667

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Gallatin

Lebanon

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