Response Scale
0
No Problem
1
Very Mild Problem
2
Mild or Slight Problem
3
Moderate Problem
4
Severe Problem
5
Problem as Bad as It Can Be
Validated Questionnaire

SNOT-22

Sino-Nasal Outcome Test · 22-item Patient-Reported Measure

Below you will find a list of symptoms and social/emotional consequences of your rhinosinusitis. We would like to know more about these problems and would appreciate your answering the following questions to the best of your ability. There are no right or wrong answers, and only you can provide us with this information.

Please rate your problems as they have been over the past two weeks by circling the number that corresponds with how you feel using this scale

Rate each symptom from 0 to 5. Items marked contribute to multiple domains.

Domain 1Rhinologic Symptoms0 / 30
1Need to blow nose
0
4Nasal blockage
0
2Sneezing
0
3Runny nose
0
5Decreased sense of smell / taste
0
8Thick nasal discharge
0

† Items 2, 4, and 8 are shared with other domains

Domain 2Extranasal Rhinologic0 / 15
6Cough
0
7Post-nasal discharge
0
8Thick nasal discharge
see Domain 1

† Item 8 is entered in Domain 1 and counted here automatically

Domain 3Ear / Facial Symptoms0 / 25
2Sneezing
see Domain 1
12Facial pain / pressure
0
9Ear fullness
0
10Dizziness
0
11Ear pain
0

† Item 2 is entered in Domain 1 and counted here automatically

Domain 5Sleep Dysfunction0 / 25
13Difficulty falling asleep
0
14Wake up at night
0
15Lack of a good night's sleep
0
16Wake up tired
0
17Fatigue
0

† Items 16 and 17 are shared with Domain 4 (Psychological Dysfunction)

Domain 4Psychological Dysfunction0 / 35
18Reduced productivity
0
19Reduced concentration
0
20Frustrated / Restless
0
21Sad
0
22Anxious
0
16Wake up tired
see Domain 5
17Fatigue
see Domain 5

† Items 16 and 17 are entered in Domain 5 and counted here automatically

Total Score
0
/ 110
Severity Index
MildModerateSevere
No Symptoms
Domain 1: Rhinologic
0 / 30
Domain 2: Extranasal
0 / 15
Domain 3: Ear/Facial
0 / 25
Domain 4: Psychological
0 / 35
Domain 5: Sleep
0 / 25

The Arabic validation of the SNOT-22 was conducted at the Otolaryngology Department, Rhinology Research Chair, King Saud University, Riyadh, Saudi Arabia.

For inquiries, please contact: [email protected]