back to patient platform Chronic Sinusitis Assessment You must have JavaScript enabled to use this form. 1 2 3 4 5 Which of the following symptoms have you been experiencing? (You may selected one or more symptoms) Symptoms Facial pressure/pain Loss or reduced smell Nasal blockage (congestion) Runny nose (nasal secretion/mucus) Post-nasal drip (mucus draining into throat) Open configuration options Test Results Build Settings You must have JavaScript enabled to use this form. 1 2 3 4 5 How long have you been experiencing these symptoms? (enter the longest period of consecutive symptoms) period Period Select Day(s) Week(s) Month(s) Year(s) Open configuration options Test Results Build Settings You must have JavaScript enabled to use this form. 1 2 3 4 5 Do you frequently suffer from lung symptoms? (e.g. noisy breathing, coughing, shortness of breath, tightness of chest) lung symptoms Yes No Open configuration options Test Results Build Settings You must have JavaScript enabled to use this form. 1 2 3 4 5 Do you frequently suffer from allergies to airborne allergens? (pollen, dust mite, mold, animal dander, etc) allergies Yes No Open configuration options Test Results Build Settings
