What’s Your Sinus IQ?
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. Facial Pain / Pressure
None
Slight
Mild
Bad
Intense
Severe
2. Headache Pain
None
Slight
Mild
Bad
Intense
Severe
3. Congestion or Stuffy Nose
None
Slight
Mild
Bad
Intense
Severe
4. Nasal Discharge
None
Slight
Mild
Bad
Intense
Severe
5. Bad Breath
None
Slight
Mild
Bad
Intense
Severe
6. Tooth/Jaw Pain
None
Slight
Mild
Bad
Intense
Severe
7. Ear Pain/Fullness
None
Slight
Mild
Bad
Intense
Severe
8. Poor Sleep Quality
None
Slight
Mild
Bad
Intense
Severe
Your Score
A score of 6 or above shows your sinus symptoms are a source of negative influence on your quality of life. You should consult a sinus specialist.
NONE
0
SLIGHT
1-5
MILD
6-12
BAD
13-18
INTENSE
19-25
SEVERE
26-40
Your Score
Name
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First Name
Last Name
Email
example@example.com
Phone Number
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Sinus Assessment Submission
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