N | Item | No problem (0) | Very mild problem (1) | Mild/slight problem (2) | Moderate problem (3) | Severe problem (4) | Problem as bad as it can be (5) |
---|---|---|---|---|---|---|---|
1 | Need to blow nose | ||||||
2 | Sneezing | ||||||
3 | Runny nose | ||||||
4 | Nasal obstruction/mouth breathing | ||||||
5 | Loss of smell/taste | ||||||
6 | Cough | ||||||
7 | Postnasal discharge | ||||||
8 | Thick nasal discharge | ||||||
9 | Ear fullness | ||||||
10 | Dizziness | ||||||
11 | Ear pain | ||||||
12 | Facial pain/headache | ||||||
13 | Difficulty falling asleep | ||||||
14 | Wake up at night | ||||||
15 | Lack of a good night sleep | ||||||
16 | Wake up tired | ||||||
17 | Fatigue | ||||||
18 | Reduced productivity | ||||||
19 | Reduced concentration | ||||||
20 | Frustrated/rest less/irritable | ||||||
21 | Sad | ||||||
22 | Embarrassed |