The coronavirus infection is thought to be associated with a loss of smell and loss of taste in patients who may not have a runny or stuffy nose. We have little information on this (prevalence, etc.).
 
Since you have been suspected or confirmed for the coronavirus infection, please complete this questionnaire.
 
This survey is for anyone who has been diagnosed with, or suspected of being infected with, the coronavirus, regardless of symptoms.
 
Note that people who already had a loss of smell or taste before the start of the pandemic are not concerned by this survey and, therefore, should not complete it.
 
Your contribution will help us to better understand this phenomenon and provide answers.
 
Thank you, 
 
YO-IFOS (International Federation of ENTs under 45) 

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* 1. What is your age ?

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* 2. What is your sex?

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* 3. What is your ethnicity ? 

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* 4. Please indicate if any of the following apply to you (several choices possible):
I suffer from:

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* 5. How were you diagnosed with COVID?

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* 6. 6. What were your general symptoms for COVID-19? (ENT complaints are listed in the following question)

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* 7. Have you suffered/are you suffering from the following ENT complaints? (rate each answer from 1 = not at all, to 5 = constantly and very severe)

  Not at all Moderate Very severe
Nasal obstruction
Runny nose 
Postnasal drip
Sore Throat 
Pain in the face
Ear pain
Swallowing difficulties
Breathing difficulties
Throat pain
Voice problem

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* 8. How many days did the symptoms of coronavirus infection last? (If you are still infected with the virus, answer: NA)

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* 9. If you are no longer infected, how many days have you been cured (no more general symptoms, such as fever, cough, headache, runny nose, etc.)

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* 10. Recently, have you had a problem with your sense of smell, with an inability to perceive odours?

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* 11. Recently, have you had a problem with your sense of smell, with odours not smelling as they should?

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* 12. Recently, have ghost odours appeared (odours that were not actually there, e.g. burning smell, bad smell)?

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* 13. When did the problems with your sense of smell start?

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* 14. How many days did the problems with your sense of smell last/ have they lasted?

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* 15. If you are no longer infected, how many days did your problems with your sense of smell last? (If you are still infected with the virus, or if you are still having problems with your sense of smell, answer: NA)

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* 16. Here is a standardised questionnaire (Short version of Questionnaire of Olfactory Disorders-Negative Statements).1
For each proposal, circle the answer that best describes your situation.

  Strongly agree agree disagree Strongly disagree
Changes in my sense of smell isolate me socially.
The problems with my sense of smell have a negative impact on my daily social activities
The problems with my sense of smell make me more irritable
Because of the problems with my sense of smell, I eat out less
Because of the problems with my sense of smell, I eat less than before (loss of appetite)
Because of the problems with my sense of smell, I have to make more effort to relax
I'm afraid I'll never be able to get used to the problems with my sense of smell.

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* 17. Have you taken treatment for the problems with your sense of smell? If so, which?

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* 18. Do you have any problems tasting salty, sweet, bitter or sour tastes in food and/or drinks?

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* 19. Do you have a problem tasting flavours in food and/or drinks (all tastes that are not salty, sweet, bitter or sour, like chocolate, banana and fish)?

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* 20. Have you taken treatment for your loss of taste? If so, which?

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* 21. Is your inability to smell/taste constant or does it fluctuate (sometimes better or sometimes worse)?

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* 22. What treatment has your doctor prescribed you for the coronavirus?

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* 23. Last question: regarding your current state

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