Please print and bring the completed form with you to your appointment.
Epworth Sleepiness Scale/ Escala de Somnolencia de Epworth
Hearing Handicap Inventory/ Inventario de Discapacidad Auditiva
SINO-NASAL Outcome Test/ Prueba de Sintomas SINO-NASAL
Tinnitus Handicap/ Inventario discapacidades por Tinnitus
Reflux Index/ Indice por Reflujo