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4C Misophonia Management Questionnaire (parent)

Misophonia is strong emotional reaction to certain sounds related to chewing food, swallowing, tapping, breathing, lip smacking, nose sniffing, and other man made noises.

1. How certain is your child that she/he is able to carry out their day-to-day tasks despite their misophonia?

2. How certain is your child that she/he is able to socialise and relax despite their misophonia?

3. How certain is your child that she/he can enjoy their leisure time despite their misophonia?

4. How certain is your child that she/he can do all the above without using any distraction or avoidance (e.g., use of background noise, or ear protection)?

For Hearing Healthcare Professionals