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Permission-free basis questionnaire

Self-Efficacy for Managing Reactions to Tinnitus

Seventeen confidence ratings about managing tinnitus reactions, activities, sleep, stress, sound, and thoughts.

Questions
17
Time
6 min
Privacy
Local only
Educational questionnaire—not a diagnosis.Rate confidence from 1 (not at all confident) to 10 (totally confident). This is a self-management conversation tool, not a severity or diagnostic test. Source and rights.

Section 1

Confidence in managing reactions

01How confident are you that you can keep the fatigue caused by your tinnitus from interfering with the things you want to do?
Not at all confidentTotally confident
02How confident are you that you can keep the discomfort of your tinnitus from interfering with the things you want to do?
Not at all confidentTotally confident
03How confident are you that you can keep the emotional distress caused by your tinnitus from interfering with the things you want to do?
Not at all confidentTotally confident
04How confident are you that you can keep any other symptoms or health problems you have from interfering with the things you want to do?
Not at all confidentTotally confident
05How confident are you that you can do the different tasks and activities needed to manage your tinnitus so as to reduce your need to see a doctor?
Not at all confidentTotally confident
06How confident are you that you can do things other than taking medication to reduce how much your tinnitus affects your everyday life?
Not at all confidentTotally confident
07How confident are you that you can use sound to take your mind off your tinnitus?
Not at all confidentTotally confident
08How confident are you that you can find a way to relax when your tinnitus is bothering you?
Not at all confidentTotally confident
09How confident are you that you can reduce stress caused by tinnitus?
Not at all confidentTotally confident
10How confident are you that you can do things to take your mind off your tinnitus?
Not at all confidentTotally confident
11How confident are you that you can do things to keep your tinnitus from affecting your daily activities?
Not at all confidentTotally confident
12How confident are you that you can concentrate when your tinnitus is bothering you?
Not at all confidentTotally confident
13How confident are you that you can do things to keep your tinnitus from affecting your sleep?
Not at all confidentTotally confident
14How confident are you that you can do things to help yourself fall asleep or stay asleep, even when you hear your tinnitus?
Not at all confidentTotally confident
15When your tinnitus is bothering you, how confident are you that you can use sound to make yourself feel better?
Not at all confidentTotally confident
16When your tinnitus is bothering you, how confident are you that you can manage your reactions to tinnitus?
Not at all confidentTotally confident
17When your tinnitus is bothering you, how confident are you that you can change the way you think about your tinnitus to make yourself feel better?
Not at all confidentTotally confident

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Calculate the SMRT result

Only the scoring rules described by the cited source are applied.

Source, rights, and limitations

Permission-free basis. VA NCRAR distributes the SMRT. Its first six adapted items come from the Self-Efficacy for Managing Chronic Disease 6-item scale, which its maintainer states is free to use without permission. TinniTest reports the supported six-item mean and does not invent a 17-item severity band.

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