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Is Balloon Sinuplasty^™ right for you?

Balloon Sinuplasty^™ Technology is a minimally invasive system used in endoscopic sinus surgery to treat chronic sinusitis symptoms. Balloon Sinuplasty^™ Technology is clinically proven to be safe and effective.

Please answer a few questions below to see if this technology may be the right choice for you. If you appear to be a candidate, we will help you to locate doctors in your area who are qualified to use the Balloon Sinuplasty^™ System.

Do you experience any of the following symptoms? (Check all that apply)

Facial pain
Facial pressure
Recurrent sinus infections
Sinus headaches
None of the above

Has a doctor prescribed medication for you to address your sinus condition(s)?

Yes

No

In the past year, how many weeks have you taken medication for your sinus condition?

Does not apply	Less than 4 weeks
4 - 5 weeks	6 - 8 weeks
9 - 12 weeks	More than 12 weeks

Has your doctor referred you to an Ear, Nose & Throat specialist?

Yes

No

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