The following questionnaire is intended to help define your symptoms and provide valuable information and insights for the physicians at Tuscaloosa Ear, Nose and Throat. Answer the questions, rating to the best of your ability the problems you have experienced over the past two weeks.  After completing the survey, please print this page and bring it to your appointment.

Consider how severe the problem is when you experience it and how frequently it happens, please rate each item below on how "bad" it is by sliding the slider to the number that corresponds with you feel.

*The SNOT score evaluation is to be used as a guide and not a physician’s diagnosis. Treatment to be determined by doctor upon appointment. Please call (205) 758-9041 to schedule an appointment.