HISTORY                                                                       Options
   Back Side Stomach ALL None
  None Septoplasty Nasal Fracture Turbinates Rhinoplasty Polypectomy Cautery #2 None Septoplasty Nasal Fracture Turbinates Rhinoplasty Polypectomy Cautery
  None FESS Caldwell-Luc Frontal    #2 None FESS Caldwell-Luc Frontal
  None T and A Tonsillectomy Wisdom teeth TMJ surgery Chin Implant Geneoplasty LaForte Jaw Fracture UPPP LAUP Somnoplasty  #2 None T and A Tonsillectomy Wisdom teeth TMJ surgery Chin Implant Geneoplasty LaForte Jaw Fracture UPPP LAUP Somnoplasty
  Wife Close friend Camping buddies Next door in hotel None Signifigant Other
  Yes No
  None <5 pounds 5-10 pounds 10-20 pounds 20-50 pounds >50 pounds
   No Yes
   Never one year two years more than 2 years
   Never Yes-rarely Yes-daily
  None Sleeping pills Narcotics Anti-depressants Anti-histamines #2 None Sleeping pills Narcotics Anti-depressants Anti-histamines
Nasal Symptoms                           rank 0-5 scale-0 being absent
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
Throat Symptoms                   rank 0-5 scale-0 being absent
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5   
Other Symptoms                         rank 0-5 scale-0 being absent
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5