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CC BY 4.0 questionnaire

Tinnitus Impact Questionnaire

A seven-item measure of how often tinnitus affected daily life and emotional wellbeing during the last two weeks.

Questions
7
Time
3 min
Privacy
Local only
Educational questionnaire—not a diagnosis.Over the last two weeks, how often did each of the following occur because of hearing a sound in your ears or head with no external source? Source and rights.

Section 1

Impact over the last two weeks

01Lack of concentration
02Feeling anxious
03Sleep difficulties (delay in falling asleep and/or difficulty getting back to sleep if woken up during the night)
04Lack of enjoyment from leisure activities
05Inability to perform certain day-to-day activities/tasks
06Feeling irritable
07Low mood

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

Source, rights, and limitations

CC BY 4.0. The development paper and questionnaire are published under Creative Commons Attribution 4.0. TinniTest reproduces and scores the English instrument with attribution.

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