Allergy Quiz?
If you suffer from allergies, you may be putting off treatment because you think nothing can be done. However, at Augusta Breathe Free, we offer allergy treatment plans designed to help you feel better, faster. To help us better understand your allergies, you can fill out this quiz before scheduling.
NONE
SLIGHT
MILD
BAD
INTENSE
SEVERE
1. Outdoors
None
Slight
Mild
Bad
Intense
Severe
2. Spring
None
Slight
Mild
Bad
Intense
Severe
3. Summer
None
Slight
Mild
Bad
Intense
Severe
4. Fall
None
Slight
Mild
Bad
Intense
Severe
5. Winter
None
Slight
Mild
Bad
Intense
Severe
6. Indoor
None
Slight
Mild
Bad
Intense
Severe
7. Cat
None
Slight
Mild
Bad
Intense
Severe
8. Dog
None
Slight
Mild
Bad
Intense
Severe
9. When you wake up
None
Slight
Mild
Bad
Intense
Severe
10. When you get home
None
Slight
Mild
Bad
Intense
Severe
11. Sneezing
None
Slight
Mild
Bad
Intense
Severe
12. Runny nose
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. Contact our allergy specialists to explore lasting relief.
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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Type a question
Allergy Quiz Submission
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