SINUS QUIZ

SINUS QUIZ
The Alabama Ear, Nose, and Throat Specialists are a firm believer that in order to facilitate a successful sinus treatment, an accurate diagnosis needs to be made first.

This SINUS QUIZ is intended to measure your symptoms along with the frequency and duration they occur. This quiz is simply a tool and can assist with a full diagnosis.
Please put a checkmark in the box next to the symptom(s) you are experiencing.

Facial Pressure/PainHeadache PainCongestion or Stuffy NoseThick, Yellow-Green Nasal DischargeLow Fever (99-100 degrees)Bad BreathPain In The Upper Teeth
Frequency and Duration Assessment
Please put a checkmark in the box next to the statement(s) which apply to you.

I have experienced my symptoms for 10 or more days three, four, five or more times (with a period of no symptoms) in the last 12 months.I have experienced my symptoms for 12 or more consecutive weeks.
Our team member will contact you regarding your sinus quiz. Please supply us with your name.
Name*

FirstLast
Please supply us with your telephone number.*
Please include your e-mail address. We promise we won't send you junk e-mail!*
Thank You!

We appreciate you taking the time to fill out the Sinus Quiz!
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Frequency and Duration Assessment