Sinus Quiz
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Sinus Quiz
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1. Do you experience any of these symptoms?
(Select all that Apply)
Pain/Pressure in your Forehead
Pain/Pressure in your Cheeks
Recurrent Sinus Infections
Congestion
Post Nasal Drip
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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Office
Additional Comments
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