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I suffer from

Allergic Asthma Allergic Rhinitis Allergic Eczema Combination of the above None of the above

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Do you have a blocked nose?

Yes No

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Select on a scale from 1 to 6, does your condition limit your quality of life?

6 - Always 5 - Almost Always 4 - Sometimes 3 - Once In A While 2 - Rarely 1 - Never

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What area of your life does your condition affect the most?

Sleep Stress at work / School Limits my amount of exercise and physical activities Doesn't affect my life at all

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Are you willing to use the device while you rest every night to improve your condition? Best results are with daily use.

Yes No