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4c Tinnitus Management Questionnaire (Parent)

Tinnitus is the sensation of sound in the ears or head without any external sound source. It may sounds like a buzzing, whistle, ringing, humming, pulsing or other types of sound

1. How certain is your child that she/he is able to carry out their day-to-day tasks even with tinnitus (e.g., learning in the classroom, having a conversation with others, read, etc.)?

2. How certain is your child that she/he is able to relax and rest even with tinnitus?

3. How certain is your child that she/he can enjoy their leisure time even with tinnitus (leisure time is hobbies such as playing, music and dance classes, computer games, sports, etc.)?

4. How certain is your child that she/he can carry on with their day to day activities, relax, and enjoy life, without using any distraction or avoidance strategies to help them (e.g., background music or tinnitus maskers)?

For Hearing Healthcare Professionals