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How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Use the following scale to choose the most appropriate response: 0 = Would never doze 1 = Slight chance of dozing 2 = Moderate chance of dozing 3 = High chance of dozing

Scoring Interpretation:
0-5 = Normal daytime sleepiness
6-10 = Higher normal daytime sleepiness
11-15 = Mild /Moderate daytime sleepiness
16-24= Severe excessive daytime sleepiness

Please circle the number between 1 and 7 which you feel best fits the following statements. This refers to your usual way of life within the last week. 1 indicates "strongly disagree" and 7 indicates "strongly agree."

Scoring: Add up the circled numbers and divide by 9. People who do not experience fatigue score about 2.8 People with Lupus score about 4.6 , People with Lyme Disease score about 4.8 , People with fatigue related to Multiple Sclerosis score about 5.1 , People with Chronic Fatigue Syndrome score about 6.1.

Please answer the following questions by checking Yes or No for each one. Score 1 point for each positive response appropriate response:

Scoring: 0 to 2= low risk 3 or 4= intermediate risk 5= high risk

Over the past one month, how much of a problem were the following conditions for you? Please circle the most appropriate response.

Scoring: Patients with a score of 30 on the NOSE survey best differentiated patients with and without nasal obstruction. Patients were categorized as having mild (range, 5-25), moderate (range, 30-50), severe (range, 55-75), or extreme (range, 80-100) nasal obstruction, depending on responses on the NOSE survey.

Please check off situations that apply to you:

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