Tinnitus Questionnaire | Assessing Tinnitus

This questionnaire is designed to find out what sort of effects tinnitus has had on your lifestyle, general well-being, etc. Some of the effects below may apply to you, some may not. Please answer all questions by circling the number that best reflects how your tinnitus has affected you over the past week

Rank your responses from 0 - Not at all to 4 - Almost all of the time
  • If you have ranked any of these questions with a high score, please log in to our Patient Portal and schedule an appointment with us or call our office at 212-889-8575
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