Free Online Tinnitus Impact Survey
By Sound Relief Tinnitus & Hearing Center
How bad is my tinnitus? How much is it impacting my life?
By taking our in-depth Tinnitus Impact Survey, we can determine the severity of your tinnitus.
Within minutes, we will also send your results via e-mail along with our recommendations to find the relief you deserve.
You may also be interested in the following pages for more information:
Medications that can cause tinnitus
Self-Help Strategies and Remedies for Tinnitus
If at any point you have questions or concerns, please feel free to give us a call.
Step 1 of 9
11%
Please read each question below carefully.
Over the past week...
What percentage of your time awake were you consciously AWARE OF your tinnitus?*
0% Never - 100% Always
0%50%100%
How STRONG or LOUD was your tinnitus?*
(0) Not at all - (10) Extremely
0510
What percentage of your time awake were you ANNOYED by your tinnitus?*
0% Never - 100% Always
0%50%100%
