Below you will find a list of symptoms and social/emotional consequences of your rhinosinusitis. We would like to know more about these problems and would appreciate your answering the following questions to the best of your ability. There are no right or wrong answers, and only you can provide us with this information.
Please rate your problems as they have been over the past two weeks. Thank you for your participation. Do not hesitate to ask for assistance if necessary.
Use the following scale to choose the most appropriate number for each item:
0 = No problem
1 = Very mild problem
2 = Mild of slight problem
3 = Moderate problem
4 = Severe problem
5 = Problem as bad as it can be