TOTAL NASAL SYMPTOM SCORE PLEASE ANSWER ALL QUESTIONS TO 2026

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  1. Click ‘Get Form’ to open the TOTAL NASAL SYMPTOM SCORE in the editor.
  2. Begin with the first question regarding nasal congestion. Select a rating from 'None' to 'Severe' for both the past 12 hours and the last 2 weeks, using the provided scale.
  3. Proceed to the second question about your runny nose. Again, choose a rating for both time frames, ensuring you reflect your experience accurately.
  4. Continue with the third question on nasal itching, following the same process of selecting ratings for each specified period.
  5. Move on to sneezing. Rate your symptoms as before for both time frames.
  6. Finally, assess how difficult sleep has been due to nasal symptoms. Provide ratings for last night and the last two weeks.
  7. Once all questions are answered, calculate your total score at the bottom of the form by summing up your responses.

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One of the instruments used is the Total Nasal Symptom Score (TNSS), which contains 5 symptoms that often arise, namely runny nose, nasal congestion, sneezing, itchy nose, and sleep disturbances.
The Reflective Total Nasal Symptom Score (rTNSS) rates 4 nasal symptoms (rhinorrhoea, nasal congestion, nasal itching, and sneezing) on a scale of 0 (no symptoms) to 3 (severe symptoms). The scores are summed to provide a total rTNSS with a range of 0 to 12.
The CRSsNP sinus Total Symptom Score (sTSS) is a composite score derived from nasal congestion (NC), anterior/posterior rhinorrhea, and facial pain/pressure. The total score ranges from 0 to 9 with higher scores indicating greater overall symptom severity.

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