THI & VAS - ongoing

  • THI & VAS - ongoing

    To help us know the irritation and interference of your tinnitus, please answer the following questions.

  • Answer these questions regarding the last week, on average.

  • 1F. Because of your tinnitus is it difficult to concentrate?*
  • 2F. Does the loudness of your tinnitus make it difficult for you to hear people?*
  • 3E. Does your tinnitus make you angry?*
  • 4F. Does your tinnitus make you feel confused?*
  • 5C. Because of your tinnitus do you feel desperate?*
  • 6E. Do you complain a great deal about your tinnitus?*
  • 7F. Because of your tinnitus do you have trouble falling to sleep at night?*
  • 8C. Do you feel that you cannot escape your tinnitus?*
  • 9F. Does your tinnitus interfere with your ability to enjoy social activities (such as going out to dinner, to the movies)?*
  • 10E. Because of your tinnitus, do you feel frustrated?*
  • 11C. Because of your tinnitus, do you feel that you have a terrible disease?*
  • 12F. Does your tinnitus make it difficult for you to enjoy life?*
  • 13F. Does your tinnitus interfere with your job or household responsibilities?*
  • 14E. Because of your tinnitus do you find that you are often irritable?*
  • 15F. Because of your tinnitus is it difficult for you to read?*
  • 16E. Does your tinnitus make you upset?*
  • 17E. Do you feel that your tinnitus problem has placed stress on your relationship with members of your family and friends?*
  • 18F. Do you find it difficult to focus your attention away from your tinnitus and on other things?*
  • 19C. Do you feel that you have no control over your tinnitus?*
  • 20F. Because of your tinnitus do you often feel tired?*
  • 21E. Because of your tinnitus do you often feel depressed?*
  • 22E. Does your tinnitus make you feel anxious?*
  • 23C. Do you feel that you can no longer cope with your tinnitus?*
  • 24F. Does your tinnitus get worse when you are under stress?*
  • 25E. Does your tinnitus make you feel insecure?*

  • Your total THI score is {totalTHI}.

    Your score represents how much your tinnitus affects you.

    • 00-16: Slight or No Handicap (Grade 1)
    • 18-36: Mild Handicap (Grade 2)
    • 38-56: Moderate Handicap (Grade 3)
    • 58-76: Severe Handicap (Grade 4)
    • 78-100: Catastrophic Handicap (Grade 5)

  • For the following questions, move the slider to the point ANYWHERE along the line that best describes how you feel.  (Note:  For the "slider" questions below, if you need to answer "0" move the slider to the right and then back to zero to prevent an error message.)

    Why ask LEAST, MOST and AVERAGE?  This helps you think about what you do that may help or hinder your progressing recovery.

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