SYMPTOMS REGISTRATION

1. Do you have any history of viral respiratory infection, dental infection or nasal allergy?

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2. Do you suffer from nasal congestion?

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3. Have you noticed any discharge from your nose?

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4. Have you ever suffered from fever, chills, or headaches?

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5. Do you suffer from chronic cough?

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6. Are you on any medication for sinusitis?

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SYMPTOMS REGISTRATION
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Any current health condition diagnosis?

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Have you ever taken any antibiotics?

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