Tinnitus Handicap Inventory The purpose of this questionnaire is to identify difficulties that you may be experiencing because of your tinnitus. Please answer every question. Please do not skip any questions. 1. Because of your tinnitus, is it difficult for you to concentrate?YesSometimesNo 2. Does the loudness of your tinnitus make it difficult for you to hear people?YesSometimesNo 3. Does your tinnitus make you angry?YesSometimesNo 4. Does your tinnitus make you feel confused?YesSometimesNo 5. Because of your tinnitus, do you feel desperate?YesSometimesNo 6. Do you complain a great deal about your tinnitus?YesSometimesNo 7. Because of your tinnitus, do you have trouble falling to sleep at night?YesSometimesNo 8. Do you feel as though you cannot escape your tinnitus?YesSometimesNo 9. Does your tinnitus interfere with your ability to enjoy your social activities (such as going out to dinner, to the movies)?YesSometimesNo 10. Because of your tinnitus, do you feel frustrated?YesSometimesNo 11. Because of your tinnitus, do you feel that you have a terrible disease?YesSometimesNo 12. Does your tinnitus make it difficult for you to enjoy life?YesSometimesNo 13. Does your tinnitus interfere with your job or household responsibilities?YesSometimesNo 14. Because of your tinnitus, do you find that you are often irritable?YesSometimesNo 15. Because of your tinnitus, is it difficult for you to read?YesSometimesNo 16. Does your tinnitus make you upset?YesSometimesNo 17. Do you feel that your tinnitus problem has placed stress on your relationships with members of your family and friends?YesSometimesNo 18. Do you find it difficult to focus your attention away from your tinnitus and on other things?YesSometimesNo 19. Do you feel that you have no control over your tinnitus?YesSometimesNo 20. Because of your tinnitus, do you often feel tired?YesSometimesNo 21. Because of your tinnitus, do you feel depressed?YesSometimesNo 22. Does your tinnitus make you feel anxious?YesSometimesNo 23. Do you feel that you can no longer cope with your tinnitus?YesSometimesNo 24. Does your tinnitus get worse when you are under stress?YesSometimesNo 25. Does your tinnitus make you feel insecure?YesSometimesNo First Name Last Name Email Phone Time is Up!
