TNSS AU1.0 eng-US

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Total Nasal Symptom Score

Please answer all questions to the best of your ability. This information will help us
understand and treat symptoms.

Please rate the following rhinitis symptoms during the past week:

1. Nasal obstruction
No symptoms 0
Mild – Awareness of the symptom but not troublesome 1
Moderate – Troublesome but does not interfere with usual daily activities or sleep 2
Severe – Interferes with usual daily activities or sleep 3

2. Itching/Sneezing
No symptoms 0
Mild – Awareness of the symptom but not troublesome 1
Moderate – Troublesome but does not interfere with usual daily activities or sleep 2
Severe – Interferes with usual daily activities or sleep 3

3. Secretion/Runny nose
No symptoms 0
Mild – Awareness of the symptom but not troublesome 1
Moderate – Troublesome but does not interfere with usual daily activities or sleep 2
Severe – Interferes with usual daily activities or sleep 3

Total score:
9

TNSS © Janet Rimmer, 2004. All Rights Reserved

TNSS - US/English - Version of 26 Oct 2017 - Mapi


ID060586 / TNSS_AU1.0_eng-US.doc

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