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Nasal Obstruction and Septoplasty Effectiveness (NOSE) – Scale

How to complete this Questionnaire:

  • These are statements many people have used to describe their Nasal symptoms and the effect on their lives
  • In the last 1 month, how much of a problem were the following conditions for you?
  • There are no right or wrong answers, and only you can provide us with this information.
  • Please rate your problems as they have been over the past two weeks.
  • 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
Nasal congestion or stuffiness.

Nasal blockage or obstruction

Trouble breathing through my nose.

Trouble Sleeping.

Unable to get enough air through my nose during exercise or exertion.

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  • Email info@melbentgroup.com.au
  • Address Level 1, 449 Swan Street Richmond VIC 3121
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