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  • Sino-nasal Outcome Test (snot-22) Questionnaire - Advanced Ent

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SinoNasal Outcome Test (SNOT22) Questionnaire Name: DOB: Date: Below you will find a list of symptoms and social/emotional consequences of your nasal disorder. We would like to know more about these.

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How to fill out the Sino-Nasal Outcome Test (SNOT-22) Questionnaire - Advanced ENT online

The Sino-Nasal Outcome Test (SNOT-22) Questionnaire is designed to assess the impact of nasal disorders on your quality of life. This guide provides clear, step-by-step instructions to help you effectively complete the questionnaire online.

Follow the steps to successfully fill out the SNOT-22 Questionnaire.

  1. Press the ‘Get Form’ button to retrieve the questionnaire and open it in your preferred editor.
  2. Begin by filling in your name, date of birth, and the date on the designated lines at the top of the form.
  3. Read the instructions carefully. The questionnaire consists of several symptoms and social/emotional effects related to your nasal condition.
  4. For section A, please rate each symptom based on how severe it has been for you over the past two weeks. Use the provided scale where 0 indicates no problem and 5 indicates the problem is as bad as it can be. Circle the corresponding number for each item.
  5. After rating the symptoms, move to the totals section. Add up the scores for each column and write the grand total score at the end.
  6. In section B, identify the five most significant symptoms affecting your health. Check off these items in the last column provided.
  7. Review your answers to ensure all fields are completed. Make any necessary adjustments.
  8. Once you are satisfied with your responses, save changes to the form. You can choose to download, print, or share the completed questionnaire as required.

Complete the SNOT-22 Questionnaire online today for an accurate assessment of your nasal health.

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Fort Worth ENT and Sinus surgeons use the Sino-nasal Outcome Test (SNOT-22) to predict the likelihood of symptom improvement after sinus and septorhinoplasty surgery in patients with chronic rhinosinusitis.

The Sino-Nasal Outcome Tests (SNOT) were originally developed by Dr. Piccirillo as the Rhinosinusitis Outcome Measure-31 (RSOM-31) to measure the physical, functional, and emotional consequences of rhinosinusitis. 1. The items were identified through discussions with patients and providers.

The content of SNOT-22 captures symptom severity, social and emotional impact, productivity, and sleep consequences of CRS. Items are scored from 0 (no problem) to 5 (problem as bad as it can be) and summed to form a total score of 0 to 110.

The 22-item Sinonasal Outcome Test (SNOT-22) is a validated patient-reported outcome measure for chronic rhinosinusitis and in many circumstances is used in rhinology/otolaryngology clinics to assess sinonasal symptoms in general when a formal diagnosis is not established, although with little support for such usage.

However, SNOT −20 lacks 2 important symptoms that commonly found in sinonasal disease i.e. nasal obstruction and loss of sense of smell and taste [5, 6]. SNOT-22 is a modification of SNOT-20 with 2 additional items addressing nasal obstruction and smell/taste problem [6].

The SNOT-22 is a validated, self-administered questionnaire that is used to assess CRS patients [1]. It consists of 22 items, rated from 0 ('no problem at all') to 5 ('worst possible symptom'). Possible SNOT-22 total scores range from 0 to 110, with higher SNOT-22 total scores indicating worse symptoms.

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Fill Sino-Nasal Outcome Test (SNOT-22) Questionnaire - Advanced ENT

The following questionnaire is a good tool to better assess further these issues and how they are affecting your well-being. Objective: To measure rhinosinusitis health status and quality of life. Population of development: Disease(s): Age category: Respondent(s):

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232