TINNITUS HANDICAP INVENTORY

Your Name*

Your Email*

Please leave this field empty.

Phone*

Because of your Tinnitus, is it difficult for you to concentrate?
YesSometimesNo

Does the loudness of your Tinnitus make it difficult for you to hear people?
YesSometimesNo

Does your Tinnitus make you angry?
YesSometimesNo

Does your Tinnitus make you feel confused?
YesSometimesNo

Because of your Tinnitus, do you feel desperate?
YesSometimesNo

Do you complain a great deal about your Tinnitus?
YesSometimesNo

Because of your Tinnitus, do have trouble falling asleep at night?
YesSometimesNo

Do you feel as though you cannot escape your Tinnitus?
YesSometimesNo

Does your Tinnitus interfere with your ability to enjoy social activities? (e.g. going out to dinner, to the movies, etc.)
YesSometimesNo

Because of your Tinnitus, do you feel frustrated?
YesSometimesNo

Because of your Tinnitus, do you feel you have a terrible disease?
YesSometimesNo

Does your Tinnitus make it difficult for you to enjoy your life?*
YesSometimesNo

Does your Tinnitus interfere with your job or household responsibilities?
YesSometimesNo

Because of your Tinnitus, do you find that you often are irritable?
YesSometimesNo

Because of your Tinnitus, is it difficult for you to read?
YesSometimesNo

Does your Tinnitus make you upset?
YesSometimesNo

Do you feel that your Tinnitus has placed stress on your relationships (e.g. family members or friends)?
YesSometimesNo

Do you find it difficult to focus your attention away from your Tinnitus on to other things?
YesSometimesNo

Do you feel you have no control over your Tinnitus?
YesSometimesNo

Because of your Tinnitus, do you feel tired?
YesSometimesNo

Because of your Tinnitus, do you often feel depressed?
YesSometimesNo

Does your Tinnitus make you feel anxious?
YesSometimesNo

Do you feel you can no longer cope with your Tinnitus?
YesSometimesNo

Does your Tinnitus get worse under stress?
YesSometimesNo

Does your Tinnitus make you feel insecure?
YesSometimesNo

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