How to complete this Questionnaire:
- 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.
0 = Not at all
1 = a little of the time
2 = some of the time
3 = a good deal of the time
4 = almost all of the time
1 = a little of the time
2 = some of the time
3 = a good deal of the time
4 = almost all of the time
Time is Up!