Take our Allergy Quiz

How Bad Are Your Allergies?

If you suffer from allergies, you may feel like nothing helps — but at urgENT, we provide treatment plans designed to help improve your symptoms and quality of life. To help us better understand your allergies, you can fill out this quiz before scheduling.

None

Slight

Mild

Bad

Intense

Severe

1. Outdoors

x

x

x

x

x

x

2. Spring

x

x

x

x

x

x

3. Summer

x

x

x

x

x

x

4. Fall

x

x

x

x

x

x

5. Winter

x

x

x

x

x

x

6. Indoors

x

x

x

x

x

x

7. Cat

x

x

x

x

x

x

8. Dog

x

x

x

x

x

x

9. When you wake up

x

x

x

x

x

x

10. When you get home

x

x

x

x

x

x

11. Sneezing

x

x

x

x

x

x

12. Runny nose

x

x

x

x

x

x

First Name

Last Name

Phone

Email

Click the submit button below to share your Allergy Self-Assessment Quiz results with our office.

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