Sinus Quiz

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Sinus Quiz

1. Do you experience any of these symptoms?

(Select all that Apply)

2. Have you been prescribed Antibiotics for Sinus Infections?

Prescribed Antibiotics *

Yes No

3. Have you experienced symptoms 3 times or more in the last 12 months?

Symptoms *

Yes No

Contact Details

Name *

Email Address *

Phone *

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Nearest Location *

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