• 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