Questionnaires

The section below includes several surveys. Surveys are an excellent tool for you to assess how much a problem truly affect your day-to-day life. They also help communicate to the physician how severe your quality of life may be affected by the problem. The following surveys assess sleep quality, voice quality, sinuses and allergies issues, and issues with swallowing. If you are affected by any of the above symptoms, we urge you to submit the results of your survey so that we can schedule a consultation with you.

Sino-Nasal Outcome Test (SNOT-22) Questionnaire

Women pressing her fingers on her nose due to nasal or sinus issues

Take Our Sino-Nasal Outcome Test (SNOT-22) Questionnaire

Uncontrolled allergies can cause a variety of symptoms including nasal congestion and progressing to recurrent sinus infections. From headaches to malaise to chronic facial pressure, sinus infections and inflammation can manifest in a variety of ways. The following questionnaire is a good tool to better assess further these issues and how they are affecting your well-being. If you are concerned regarding allergies and sinus issues, please make sure to submit the results of the survey to us so we can help you address them.

 

Epworth Sleepiness Scale Questionnaire

Man sleeping on folders on desk due to experiencing sleep apnea fatigue and tiredness

Take Our Epworth Sleepiness Scale Questionnaire

Sleep issues affect millions of Americans each year and range from inability to sleep to non-restorative sleep. Many people feel not rested despite sleeping enough hours or deal with snoring and anatomical issues causing airway obstruction when sleeping. The following survey is quick and can provide an insight into the severity of these issues. If you experience poor sleep, we encourage you take the survey and suggest you submit the results so we can schedule a time to meet you and address these concerns.

Insurance Providers We Work With

  • AARP MEDICARE ADVANTAGE
  • AETNA PPO/HMO/POS/EPO
  • AETNA MEDICARE ADVANTAGE
  • BAYLOR SCOTT & WHITE HEALTH PLANS PPO/POS/EPO/HMO
  • BEECH STREET PPO
  • BLUE CROSS BLUE SHIELD PPO
  • BLUE CROSS BLUE SHIELD FEDERAL
  • BLUE CROSS BLUE SHIELD HEALTHSELECT (AUTHORIZATION REQUIRED)
  • BLUE ADVANTAGE PPO (MEDICARE REPLACEMENT)
  • CIGNA PPO
  • CIGNA CHOICE PLUS
  • CIGNA OPEN ACCESS PLUS
  • COVENTRY HEALTHCARE
  • FIRST HEALTH PPO
  • GALAXY HEALTH NETWORK
  • GOLDEN RULE
  • HEALTHSCOPE PPO (DART EMPLOYEES)
  • HEALTHSMART PPO
  • HUMANA CHOICE CARE PPO
  • HUMANA TRS PPO
  • HUMANA CHOICE REGIONAL PPO (MEDICARE REPLACEMENT)
  • MEDICARE PART B
  • MULTIPLAN PPO
  • OSCAR (GROUP PLANS ONLY)
  • PHCS PPO
  • SECURE HORIZON
  • TEXAS TRUE CHOICE PPO
  • UNITED HEALTHCARE
  • WELL MED MEDICARE ADVANTAGE PLANS