*Does your nasal breathing feel blocked or restricted? YESNO * Do you have excessive clear or white nasal mucus? YESNO *Do you have yellow or green nasal mucus? YESNO *Do you have facial pain or pressure? YESNO *Do you have a reduced sense of smell? YESNO *Do you have a postnasal drip? YESNO * Do you suffer from sneezing, itchy eyes, or itchy nose? YESNO * Do you suffer from more than two sinus infections per year? YESNO Name* Email* Phone Number*
