Misophonia Impact Questionnaire (Adult version)

Please answer each item to the best of your ability as close to your experience as possible.

Over the last 2 weeks, how often would you say the following has occurred because of your intolerance to certain sounds related to eating, chewing gum, lip smacking, mouth noises, sniffling, breathing, clicking, and tapping?

(Use "✓" to indicate your answer)

1. Feeling anxious	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
2. Unable to distract yourself from certain sounds	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
3. Experiencing difficulties in your relationships with family members or friends	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
4. Feeling angry	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
5. Finding it difficult to be around certain individuals because of the noises that they make	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
6. Feeling irritated	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
7. Avoiding certain situations because of the noises that you have to put up with	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days
8. Experiencing low mood because of your intolerance to certain sounds	0 - 1 day	2 - 6 days	7 - 10 days	11 - 14 days