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Before Your Visit

Your time is precious.
Be efficient and make the most of your visit and time with the Melbourne ENT Group team by completing registration forms and condition-specific questionnaires online prior to your visit here. Just click on the relevant questionnaire below, and complete the survey securely online

Patient Registration Form COVID-19 Screening Questionnaire

Complete & submit securely online, or Download, complete & return this basic information form prior to your first appointment with the MEG team via fax, or post.. or just bring it along on the day.

Patient Questionnaires

These validated questionnaires help the Melbourne ENT Group team define the nature and severity of your ENT condition, and often track the progress of your condition during treatment. Download, complete and return these questionnaires as directed by the MEG team prior to initial or review appointment.

Ear Conditions

Glasgow Benefit Inventory (GBI)
Tinnitus - Tinnitus Reaction Questionnaire (TRQ)
Hearing Aids - Hearing Evaluation and Auditory Rehabilitation (HEAR-14)

Nose Conditions

Sino-Nasal Outcome Test (SNOT-22)
Nasal Obstruction and Septoplasty Effectiveness (NOSE) - Scale

Throat Conditions

Subglottic Stenosis 6 Question Survey (SSS-6)
Vocal Cord Dysfunction Questionnaire (VCD-Q)
Snoring and Sleep Apnoea - Epworth Sleepiness Score (ESS)
STOP-Bang
Reflux - Reflux Severity Index (RSI)
Cough - Cough Severity Index (CSI)
Breathing - Dyspnoea Index (DI)
Voice Symptom Scale (VoiSS)
Voice - Voice Handicap Index (VHI-10)
Swallowing - Eating Assessment Tool (EAT-10)
Paediatric Throat Disorders Outcome Test – T14

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info@melbentgroup.com.au

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  • Address G2/173 Lennox Street Richmond VIC 3121
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