Take the Test Home › Balloon Sinuplasty Eligibility Test Find Out if You Qualify Do you experience any of the following more than 2 times a year? Pressure or pain over the sinuses Headaches in the front of the head Sinus congestion Recurrent sinus infections Yes No Do any of the symptoms you selected last more than 2 weeks at a time? Yes No Do these symptoms have any of the following affects on your life? Decreased activity (work or play) Difficulty concentrating Increased frustration Increased stress Yes No Have you been prescribed medication for a sinus infection or sinus symptoms more than 2 times a year? Yes No Have you been referred to an Ear, Nose and Throat Specialist to evaluate your sinuses? Yes No Have you been on more than one type of medication for your sinuses? Yes No Are you tired of trying several different medications for your sinus symptoms? Yes No Not Applicable You may benefit from a Balloon Sinuplasty Procedure. Complete the following for a consultation with one of our ENT Specialists! Based on some of your answers you may not be a candidate for Balloon Sinuplasty at this time. However, please complete the following for a consultation with one of our ENT Specialists! We encourage you to schedule an appointment with our specialists to discuss your symptoms and see what treatment options would benefit you. We are here to help in any way we can. We look forward to hearing from you soon! First Name* Last Name* Email Address* Phone Number* By providing my phone number, I agree to receive text messages from Relief Sinus Institute regarding my results and any other related messages.*I accept Submit
