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Tinnitus Questionnaires

Two questionnaires that may be useful for professionals working with patients who experience tinnitus are provided as downloadable documents in an Excel spreadsheet format.

These questionnaires may be used to identify specific areas of a patient’s life that are affected by tinnitus as well as to monitor a patient’s progress with a particular treatment.

The Iowa Tinnitus Handicap Questionnaire was developed and psychometrically measured by Francis K. Kuk, Richard S. Tyler, Daniel Russell, and Herbert Jordan in 1990. Three factors are examined that include the physical, emotional, and social consequences of tinnitus, the hearing ability of the patient, and the patients’ view of tinnitus.

The Iowa Tinnitus Activities Questionnaire looks at the emotional aspect of tinnitus as well as problems that are associated with concentration, hearing, and sleep due to tinnitus.

Each document contains a scoring component, and we offer two different versions of each questionnaire. The scoring component can be found on the downloaded Excel document by clicking on the "remark" tab near the bottom of the spreadsheet page.

Translations of these questionnaires are available in a growing number of languages.

Download Questionnaires

English

Arabic

Arabic version provided by Inas Ramadan, MD

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Dutch

French

German

German version provided by Ilse M. Zalaman, DP and Ingo Baumann, MD
Deutsche Übersetzung von Ilse M. Zalaman, DP und Ingo Baumann, MD

Hindi

Hindi version provided by Smita Agrawal, PhD

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Korean

Korean version provided by Son-A Chang, MA

Lithuanian

Polish

Portugese

Portugese version provided by Claudia Coelho, MD
Versão em Português fornecida por Claudia Coelho, MD, PhD

Chinese

Simplified Chinese version provided by Tao Pan, MD

 

 

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Spanish

Spanish version provided by Paulo Medeiros
Versión española proporcionada por Paulo Medeiros

Turkish

Turkish version provided by Mavis Kaylicki, PhD