Public Survey - Coronavirus infection and ENT symptoms

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?

Female

Male

Other

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* 3. What is your ethnicity ?

Europe

Asia

Black Africa

North Africa

North America

South America

Oceania

Other

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

Diabetes

High blood pressure

Chronic rhinosinusitis with or without polyps

Previous sinus operation(s) (for chronic rhinosinusitis with or without polyp for example)

Hypothyroidism (treated)

Hypothyroidism (untreated)

Allergic rhinitis (allergy and runny nose)

Renal failure

Hepatic insufficiency (liver)

Respiratory insufficiency (COPD, emphysema, smoker's lung)

Gastric reflux (or taking antacids)

Asthma

Heart problems

Neurological problems (Parkinson's, degenerative disease, etc.)

Depression

I smoke 0 to 10 cigarettes a day

I smoke 11 to 20 cigarettes a day

I smoke more than 20 cigarettes a day

Autoimmune disease (polyarthritis, lupus, etc.)

I currently have cancer that is untreated or under treatment

I have an allergy/allergies

Other(s):

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* 5. How were you diagnosed with COVID?

My doctor made the diagnosis based on my symptoms during a face-to-face consultation, over the telephone or via telemedicine.

A specialist doctor made the diagnosis based on my symptoms through a clinical examination or a teleconsultation.

I diagnosed myself.

I took an objective test (PCR, blood test, swab) which came back positive.

Medical imaging (scan, X-ray, etc.) confirmed the diagnosis.

Other method:

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

Fever or chills

Cough

chest pain

loss of appetite

Sticky phlegm

Joint pain

Muscle ache

Diarrhea

Abdominal pain

Nausea and/or vomitting

Headache

Fatigue

Other

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

Other

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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?

Yes, partial loss of smell

Yes, total loss of smell

I don’t know

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

Yes

I don't know

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

Yes

I don't know

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

Before the other ENT/general symptoms appeared

At the same time as the other symptoms

After the other symptoms

I don’t know / I can’t remember.

Other

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

I still have problems with my sense of smell, but all my other symptoms are gone

I still have problems with my sense of smell and I’m still ill

All of my symptoms are gone, and they lasted between 1 and 4 days

All of my symptoms are gone, and they lasted between 5 and 8 days

All of my symptoms are gone, and they lasted between 9 and 14 days

All of my symptoms are gone, and they lasted more than 15 days

Other

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

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

Oral corticosteroids (Medrol, Solumedrol, Solupred, Prednisolone, etc.)

Corticosteroid nasal sprays (Mometasone, Nasonex, Dexamethasone, etc.)

Nasal washings with saline solution (Physiomer, Respimer, etc.)

Other: Name of medication:

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

Yes

I don't know

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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)?

Yes, my ability to taste flavours is reduced.

Yes, my ability to taste flavours has completely gone.

Yes, my ability to taste flavours is distorted

I don't know

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

Yes. Name of medication

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

This question does not apply to me.

The loss is constant and remains unchanged.

It fluctuates.

There is a problem only when my nose is blocked or when it runs.

I don’t know.

Other:

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

I haven't been to the doctor, I tested positive and stayed at home.

I had a phone call/video consultation with the doctor after the test, and they advised me to stay at home.

Paracetamol (Dafalgan, Doliprane, etc.)

Anti-inflammatories (Ibuprofen, Brufen, Ketoprofen, etc.)

Oral corticosteroids (Solupred, Solumedrol, Medrol, Dexamethasone, etc.)

Mucus thinners (mucolytics)

Corticosteroid nasal spray

Nasal washings with saline solution

Chloroquin

I don’t know/I don’t remember

Other medication:

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* 23. Last question: regarding your current state

I no longer have any symptoms, I think I am cured.

I no longer have any general symptoms, but my taste problem persists.

I no longer have any general symptoms, but the problem with my sense of smell persists.

I am still in the "acute" phase of the disease with many complaints.

Other:

Public Survey - Coronavirus infection and ENT symptoms

Question Title

* 1. What is your age ?

Question Title

* 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)

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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?

Question Title

* 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).1For each proposal, circle the answer that best describes your situation.

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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

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

* 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.