Sinusitis Self Assessment

Do You Need Sinusitis Treatment? A woman feeling a sense of freedom standing on the edge of a cliff and throwing her arms out.

Take this quick self-assessment to help you and your doctor determine if you are a good candidate for balloon sinus surgery with the NuVent EM Sinus Dilation System

Simply rate each item according to your experience. After you have finished rating all of the items on this form, print the form and review it with your doctor.

Technical Note:

Resources: This form allows patients the convenience of completing their Sinusitis Self Assessment from home or work. If the form does not work, please download the latest version of Adobe Reader on your computer, click here to download the free plugin from Adobe’s website.