Take our Allergy Quiz

How Bad Are Your Allergies?

If you suffer from allergies, you may be putting off treatment because you think nothing can be done. However, at Emerald ENT, we offer allergy treatment plans that can get you feeling better in no time. To help us better understand your allergies, you can fill out this quiz before scheduling.

None

Slight

Mild

Bad

Intense

Severe

1. Outdoors

x

x

x

x

x

x

2. Spring

x

x

x

x

x

x

3. Summer

x

x

x

x

x

x

4. Fall

x

x

x

x

x

x

5. Winter

x

x

x

x

x

x

6. Indoors

x

x

x

x

x

x

7. Cat

x

x

x

x

x

x

8. Dog

x

x

x

x

x

x

9. When you wake up

x

x

x

x

x

x

10. When you get home

x

x

x

x

x

x

11. Sneezing

x

x

x

x

x

x

12. Runny nose

x

x

x

x

x

x

First Name

Last Name

Phone

Email

Click the submit button below to share your Allergy Self-Assessment Quiz results with our office.

Thank you! Your results from the Allergy Self-Assessment have been submitted.

Someone from the office will reach out as soon as possible.

Oops! Something went wrong while submitting the form.