TNSS assessment for allergic rhinitis severity (0–12 scale)
TNSS Total
Controlled
Confidence
High
Sneezing
Congestion
Itching
Runny Nose
💡 Clinical Pearl
TNSS captures symptom burden snapshot. For treatment decisions, track TNSS over 3 months prior. Early seasonal rhinitis is often undertreated—patients adapt and normalize symptoms. Ask: "How does this affect your sleep, work, sports?" Poor TNSS control despite max medical therapy suggests need for immunotherapy or newer biologic (dupilumab) referral.
