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Rhinitis means inflammation of the nasal mucous membrane and often precedes sinusitis (inflammation of the lining of the paranasal sinuses), it is rare for sinusitis to occur without coexisting rhinitis and as such the most appropriate term for both is rhinosinusitis. The MSNOT-20 questionnaire is a valid, disease specific quality of life instrument for Rhinitis/Rhinosinusitis (R/RS). The MSNOT-20 questionnaire has been shown to identify and discriminate between R/RS and non-disease and can evaluate the effect of treatment on symptomatology, based on severity scores, and on quality of life domains