CC BY 4.0 questionnaire

Impact of Tinnitus in Children Questionnaire

A child-friendly questionnaire for ages 8–16 covering sleep, learning, hearing, emotions, participation, and relationships.

Questions: 36
Time: 8 min
Privacy: Local only

Section 1

Scene setting (not scored)

01How much have you noticed your tinnitus?

02How much have you felt annoyed by your tinnitus?

03How much has your tinnitus made it hard to do things?

Section 2

Sleep and feeling tired

04My tinnitus makes it hard for me to get to sleep

05My tinnitus makes me wake up during the night

06Even with my tinnitus, I sleep well

07I feel tired because of my tinnitus

08I don't like going to bed because of my tinnitus

09I worry that my tinnitus will stop me from sleeping

Section 3

Learning

10Even with my tinnitus, I am able to do my schoolwork

11My tinnitus makes it hard for me to focus or concentrate

12My tinnitus makes tests or exams harder to do

13I find school stressful because of my tinnitus

14I miss lessons because of my tinnitus

15I get into trouble at school because of my tinnitus

Section 4

Hearing and listening

16My tinnitus makes it hard for me to hear

17My tinnitus makes it hard to take part in conversations

18I worry about not being able to hear because of my tinnitus

Section 5

Emotional health

19I worry about my tinnitus

20My tinnitus makes me feel scared

21My tinnitus makes me feel stressed

22Even with my tinnitus, I feel happy

23My tinnitus makes me feel sad

24My tinnitus makes me feel like I am not normal

25My tinnitus puts me in a bad mood

26There are things that I can do that help me cope with my tinnitus

27Even with my tinnitus, I can do things to relax

Section 6

Taking part

28My tinnitus gets in the way of things I do with friends or family

29My tinnitus gets in the way of things I do on my own

30My tinnitus stops me from doing the things I used to do

31There are places I avoid because of my tinnitus

32I prefer to spend time on my own because of my tinnitus

Section 7

Relationships

33Even with my tinnitus, I enjoy spending time with friends

34Even with my tinnitus, I get on well with my family (e.g., my parents, brothers, sisters)

35I feel like I get enough help for my tinnitus

36I find it hard to talk to other people about my tinnitus

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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 preserves the English v1.0 wording and scoring instructions with attribution.

Smith et al. iTICQ developmentFrontiers in Audiology and Otology (2024), doi:10.3389/fauot.2023.1323864
Official or author-hosted formExternal source copy used to verify wording and response options
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