Quality of Life Survey Sinus and allergy symptoms can make anyone feel miserable. Chronic discomfort can affect your quality of life. Take our short survey to see how your life is being impacted. Sinus Quiz First Name * Last Name * Please enter your Email Address * Phone Number * . Next Do you currently have a sinus infection? Yes No How often do you get sinus infections? Less than one a year Once a year Seasonally (2-3 times per year) Regularly (multiple times throughout the year) Please select all symptoms that you suffer from when you have a sinus infection. Post Nasal Drip Sneezing/Running Nose Coughing Ear Fullness Facial Pressure/Pain Headaches above the eyes Difficulty sleeping General Fatigue . Next Please select all issues you experience when you are having a sinus infection. Wake up tired Reduced concentration Irritability Frustration/Irritability A feeling of no energy throughout the day Difficulty falling asleep Difficulty staying asleep . Next Please list the top 3 symptoms that cause you the most frustration when you have a sinus infection. . Next Please select any therapies you have tried for sinus infections in the past. Antibiotics Oral steroids Nasal rinses Previous sinus surgery Decongestants Nasal sprays Allergy testing I have not tried any previous treatment . Next What statement best describes experience with sinus symptoms? Sinus symptoms effect my life every day. Sinus symptoms effect my quality of life weekly. Sinus symptoms bother me every couple of weeks. Sinus symptoms bother me seasonally but most of the year I am unaffected. Sinus symptoms bother me about once a year. . Next What best describes your current situation? I am currently suffering from a sinus infection and would like to see a medical provider for treatment recommendation and relief. I am not currently suffering from a sinus infection but would like to talk with a medical provider about possible long term solutions. I am not currently suffering from a sinus infection but have been told by a doctor or friend to see a specialist about my sinus infections. I am not interested in an appointment but would like additional information regarding sinus infections and treatments. . Next If you are human, leave this field blank.