Morning Nasal Assessment Tracker

How did your nose do last night?

Two minutes each morning, for one to two weeks of the At-Home Nasal Trial. Everything stays on this device; nothing is sent anywhere.

1 · Date

2 · What did you use last night?

Tap all that apply. Leave empty for a baseline night.

3 · NOSE questionnaire

Over the past night and this morning, how much of a problem was each of the following? 0 = not a problem · 4 = severe problem

0NOSE score, 0 to 100 (auto-scored)

4 · This morning

NOSE = Nasal Obstruction Symptom Evaluation (Stewart et al., 2004). This tracker records symptoms; it does not diagnose. Stanley Y. Liu, MD, DDS, FACS · drstanleyliu.com

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