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SNOT20 Test: Empty Nose Syndrome Severity Score & Self-Assessment

The official SNOT-20 test

The Sino-Nasal Outcome Test (SNOT-20) is designed to evaluate the severity of your nasal symptoms and their impact on your quality of life. It is an effective tool for tracking the physical and emotional burden of Empty Nose Syndrome (ENS).

Please rate the severity of the following symptoms on a scale from 0 (no problem) to 5 (problem as bad as it can be). Your score is calculated as you go.

Question 1Need to blow nose
Question 2Sneezing
Question 3Runny nose
Question 4Cough
Question 5Post-nasal discharge
Question 6Thick nasal discharge
Question 7Ear fullness
Question 8Dizziness
Question 9Ear pain
Question 10Facial pain / pressure
Question 11Difficulty falling asleep
Question 12Wake up at night
Question 13Lack of sleep
Question 14Wake up tired
Question 15Fatigue
Question 16Reduced productivity
Question 17Reduced concentration
Question 18Frustrated / restless / irritable
Question 19Sad
Question 20Embarrassed

About the SNOT-20

What is the SNOT-20 questionnaire?

The Sino-Nasal Outcome Test (SNOT-20) is a 20-item questionnaire designed to assess how nasal and sinus problems affect your quality of life.

How is the SNOT-20 scored?

Each of the 20 questions is rated on a scale from 0 (no problem) to 5 (problem as bad as it can be). The total score ranges from 0 to 100, where a higher score indicates a greater negative impact on quality of life.

What conditions is the SNOT-20 used for in this context?

In this context, the SNOT-20 is used to evaluate the impact and quality of life for patients suffering from Empty Nose Syndrome (ENS).