Consider how severe the problem is when you experience it and how frequently it happens, please rate each item below on how "bad" it is by ticking the radio button that corresponds with how you feel. None0Slight1Mild2Bad3Intense4Severe5 1. Need to blow nose 0 1 2 3 4 5 2. Sneezing 0 1 2 3 4 5 3. Running Nose 0 1 2 3 4 5 4. Cough 0 1 2 3 4 5 5. Post-nasal discharge 0 1 2 3 4 5 6. Thick nasal discharge 0 1 2 3 4 5 7. Ear fullness 0 1 2 3 4 5 8. Dizziness 0 1 2 3 4 5 9. Ear pain 0 1 2 3 4 5 10. Facial pain/pressure 0 1 2 3 4 5 SCORE: 0 None0Slight1Mild2Bad3Intense4Severe5 11. Difficulty falling asleep 0 1 2 3 4 5 12. Wake up at night 0 1 2 3 4 5 13. Lack of sleep 0 1 2 3 4 5 14. Wake up tired 0 1 2 3 4 5 15. Fatigue 0 1 2 3 4 5 16. Reduced productivity 0 1 2 3 4 5 17. Reduced concentration 0 1 2 3 4 5 18. Frustrated/Restless/Irritable 0 1 2 3 4 5 19. Sad 0 1 2 3 4 5 20. Embarrassed 0 1 2 3 4 5 SCORE: 0 Score Explaination Score Evaluation Recommended Next Step 0 to 10 No Problem No actions necessary or symptoms can be treated with OTC medication. 11 to 40 Moderate Problem An appointment with a specialist or your PCP is recommended and/or prescription medicine can be taken to treat symptoms. 41 to 69 Moderate to severe An appointment with a specialist or your PCP is recommended and/or prescription medicine can be taken to treat symptoms. 70 to 100 Severe to "as bad as it can be" An appointment with a specialist is recommended, treatment to be determined by doctor. Possible surgical candidate. * The SNOT score evaluation is to be used as a guide and not a physician's diagnosis. Treatment to be determined by doctor upon appointment. PRINT RESULTS Email Results To Our Office Your name * Your email Your phone Comments How did you hear about us? * -- Current Patient Doctor Referral Friend Referral Internet Search Radio TV Other Submit