To request an appointment at NYOG by email, please give us your contact information in the form below and we will get back to you shortly with available dates.

You can also call the office: 212.889.8575

We take most insurance plans. Please call the office
to see if we accept yours.

SNOT Test for Rhinosinusitis - Evaluate Rhinosinusitis Symptoms

212.889.8575

2 Manhattan, NYC Offices
Most Major Insurance Accepted

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SNOT Test

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. Please rate your problems as they have been over the past two weeks. Thank you for your participation.

Name
FirstLast
Email
Phone
Need to blow nose
- 0
- 1
- 2
- 3
- 4
- 5
Sneezing
- 0
- 1
- 2
- 3
- 4
- 5
Runny nose
- 0
- 1
- 2
- 3
- 4
- 5
Cough
- 0
- 1
- 2
- 3
- 4
- 5
Post-nasal discharge
- 0
- 1
- 2
- 3
- 4
- 5
Thick nasal discharge
- 0
- 1
- 2
- 3
- 4
- 5
Ear fullness
- 0
- 1
- 2
- 3
- 4
- 5
Dizziness
- 0
- 1
- 2
- 3
- 4
- 5
Ear Pain
- 0
- 1
- 2
- 3
- 4
- 5
Facial pain / pressure
- 0
- 1
- 2
- 3
- 4
- 5
Difficulty falling asleep
- 0
- 1
- 2
- 3
- 4
- 5
Wake up at night
- 0
- 1
- 2
- 3
- 4
- 5
Lack of a good night's sleep
- 0
- 1
- 2
- 3
- 4
- 5
Wake up tired
- 0
- 1
- 2
- 3
- 4
- 5
Fatigue
- 0
- 1
- 2
- 3
- 4
- 5
Reduced productivity
- 0
- 1
- 2
- 3
- 4
- 5
Reduced concentration
- 0
- 1
- 2
- 3
- 4
- 5
Frustrated / restless / irritable
- 0
- 1
- 2
- 3
- 4
- 5
Sad
- 0
- 1
- 2
- 3
- 4
- 5
Embarassed
- 0
- 1
- 2
- 3
- 4
- 5
Total
If your total score is above 20 or you have answered any of the questions with a severity of 4 or 5 log in to our Patient Portal and schedule an appointment with us or call our office at 212-889-8575
I would like a scheduler from your office to contact me:
- By Phone
- By Email
- I do not want to be contacted. I will contact you.
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