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CC BY 4.0 questionnaire

Tinnitus Qualities and Impact Questionnaire

Ten ratings of tinnitus sound qualities and how internal and external factors affect the experience.

Questions
10
Time
4 min
Privacy
Local only
Educational questionnaire—not a diagnosis.Select one number from 0 to 10 for each question. Lower numbers mean the aspect is less of a problem; higher numbers mean it is a bigger problem. Source and rights.

Section 1

Tinnitus qualities and impact

01How loud has your tinnitus been?
Hardly noticeableVery loud
02How annoyed are you with the pitch (or tone) of your tinnitus?
Not at allVery annoyed
03How many different types of sound do you hear?
A single soundMore sounds than I can count (10+)
04How often are you aware of your tinnitus?
Rarely awareAlways aware
05How easily have you lived with having tinnitus?
Very easilyReally struggling
06How much do you notice your tinnitus when you are busy doing other things?
Hardly notice itNotice it a lot
07How much do you notice your tinnitus when there are other sounds around you?
Hardly notice itNotice it a lot
08How much does your mood affect your tinnitus?
Not at allVery much
09How has hearing loud noise affected your tinnitus?
Not at allVery much
10How sensitive are you to sounds you hear around you?
Not at allVery sensitive

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

Source, rights, and limitations

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

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