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Chronic Sinusitis Assessment

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Which of the following symptoms have you been experiencing?

(You may selected one or more symptoms)

Symptoms
(nasal secretion/mucus)
(mucus draining into throat)
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How long have you been experiencing these symptoms?

(enter the longest period of consecutive symptoms)

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Do you frequently suffer from lung symptoms?

(e.g. noisy breathing, coughing, shortness of breath, tightness of chest)

lung symptoms
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Do you frequently suffer from allergies to airborne allergens?

(pollen, dust mite, mold, animal dander, etc)

allergies
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