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Audiology Services

TINNITUS HANDICAP INVENTORY

Once submitted, a copy of this questionnaire will be sent to our office.

Your Name*

Your Email*

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

"It has been a journey to regain my hearing, reduce sound sensitivity and tinnitus control. Dr. Karlovitz expertly prescribed hearing aids to address all three of my issues. I’m now at 90% hearing correction and am adjusting to the new sounds I hear. I’ve regained my hearing world and that’s a blessing."

Debra B.,
Patient

2016-03-22T12:31:54+00:00

Debra B.,
Patient

"It has been a journey to regain my hearing, reduce sound sensitivity and tinnitus control. Dr. Karlovitz expertly prescribed hearing aids to address all three of my issues. I’m now at 90% hearing correction and am adjusting to the new sounds I hear. I’ve regained my hearing world and that’s a blessing."
"I learned so much about tinnitus. How to adjust to the problem, how to accept it for what it is, how to adapt my mindset to be able to push the tinnitus to the background. While it is still there, my reaction to it has changed. It is no longer such a bothersome burden. It has eased as a major problem in my life. It has been a wonderful experience. I enjoyed Jeannie’s open and highly professional approach."

James M.,
Patient

2016-03-22T12:31:10+00:00

James M.,
Patient

"I learned so much about tinnitus. How to adjust to the problem, how to accept it for what it is, how to adapt my mindset to be able to push the tinnitus to the background. While it is still there, my reaction to it has changed. It is no longer such a bothersome burden. It has eased as a major problem in my life. It has been a wonderful experience. I enjoyed Jeannie’s open and highly professional approach."
"I’ve had tinnitus for over twenty years, and it was exciting to find out there was a way to deal with it. With treatment the intensity of the tinnitus is less and I’m less aware of it. Didn’t feel rushed, liked the one to one relationship."

Roberta T.,
Patient

2016-03-22T12:28:41+00:00

Roberta T.,
Patient

"I’ve had tinnitus for over twenty years, and it was exciting to find out there was a way to deal with it. With treatment the intensity of the tinnitus is less and I’m less aware of it. Didn’t feel rushed, liked the one to one relationship."
"This was the first time my tinnitus was really addressed. Part of that is due to the technology available now, but also the insight and encouragement offered by Jeannie. My tinnitus, which used to be very disturbing and anxiety producing, is now quite manageable, and does not disrupt my life at all."

Diana M.,
Patient

2016-03-22T12:30:08+00:00

Diana M.,
Patient

"This was the first time my tinnitus was really addressed. Part of that is due to the technology available now, but also the insight and encouragement offered by Jeannie. My tinnitus, which used to be very disturbing and anxiety producing, is now quite manageable, and does not disrupt my life at all."
"One summer day I was feeling very depressed. I could not get rid of the ringing in my ears. After several sessions and exercises with Dr. Jeannie, my brain began to see the light of hope and ray of happiness. Dr. Jeannie is an angel of mercy who restored my bubbly personality, and sent me on a road of success."

Rita H.,
Patient

2016-03-22T12:29:19+00:00

Rita H.,
Patient

"One summer day I was feeling very depressed. I could not get rid of the ringing in my ears. After several sessions and exercises with Dr. Jeannie, my brain began to see the light of hope and ray of happiness. Dr. Jeannie is an angel of mercy who restored my bubbly personality, and sent me on a road of success."

Why Wait? You don’t have to live with ringing in your ears.

CALL US TODAY

Why Wait? You don’t have to live with ringing in your ears.

CALL US TODAY