Nasal Obstruction and Septoplasty Effectiveness (NOSE) - Scale How to complete this Questionnaire: These are statements that many people have used to describe their Nasal symptoms and the effect on their lives In the last one month, how much of a problem were the following conditions for you? Circle the rating number that reflects the severity of the problem for you, for each statement. 0-4 Rating Scale 0 = NOT a problem 1 = Very mild problem 2 = Moderate problem 3 = Fairly bad problem 4 = Severe problem Name: Situation Degree of Problem Nasal congestion or stuffiness.*please select01234Nasal blockage or obstruction*please select01234Trouble breathing through my nose.*please select01234Trouble Sleeping.*please select01234Unable to get enough air through my nose during exercise or exertion.*please select01234 This iframe contains the logic required to handle Ajax powered Gravity Forms.