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For Patient Tinnitus Reaction Questionnaire (TRQ) Name: Date Completed: This questionnaire is designed to find out what sort of effects tinnitus has had on your lifestyle, general wellbeing, etc.

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How to fill out the Tinnitus Reaction Questionnaire online

The Tinnitus Reaction Questionnaire is designed to assess the impact of tinnitus on various aspects of your life. By answering the questions thoughtfully, you can help healthcare professionals understand how tinnitus affects your wellbeing over the past week.

Follow the steps to successfully complete your questionnaire online.

  1. Press the ‘Get Form’ button to access the Tinnitus Reaction Questionnaire and open it in your preferred online form editor.
  2. Begin by entering your name in the designated field at the top of the form.
  3. Next, input the date you are completing the questionnaire in the specified field.
  4. Proceed to answer each question that follows by circling the number that most closely reflects how your tinnitus has affected you over the past week. The options range from 'Not at all' to 'Almost all of the time'.
  5. After completing all questions, calculate the total score by noting the responses for relevant items.
  6. Answer the percentage questions at the end, indicating how often you were aware of your tinnitus and how bothersome it was during that time.
  7. Once all sections are completed, you can save your changes, download the document, print it, or share it as needed.

Complete your Tinnitus Reaction Questionnaire online to contribute valuable information for your health.

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The only questionnaires recommended are the Tinnitus Handicap Inventory (THI) and the Hospital Anxiety and Depression Scale (HADS).

The THI score of 0-16 means "no or slight handicap", 18 to 36 indicates "mild", 38 to 56 indicates "moderate", 58 to 76 indicates "severe", and a score of 78-100 is classified as "catastrophic handicap". Mun, et al.

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.

1) Sum all of that respondent's valid answers for a given subscale. 2) Divide by the number of valid answers that were provided by that respondent for that subscale. 3) Multiply by 10. For the respondent in question, this procedure generates a subscale score in the range 0- 100 for each valid subscale.

This questionnaire is designed to find out what sort of effects tinnitus has had on your lifestyle, general well-being, etc. week. A Score of 17 or above, is considered indicative of significantly intrusive tinnitus You may benefit from a consultation from us at MEG.

Tinnitus Reaction Questionnaire (TRQ) Each questionnaire item is rated on a five-point scale from zero (not at all) to four (almost all of the time). Total scores range from 0-104, with higher scores denoting higher levels of distress.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232