Hyperacusis 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 certain environmental sounds which seemed too loud to you but people around you could tolerate them well?

(Use "✓" to indicate your answer)

1. Feeling anxious when hearing loud noises
2. Avoiding certain places because it is too noisy
3. Lack of concentration in noisy places
4. Unable to relax in noisy places
5. Difficulty in carrying out certain day-to-day activities/tasks in noisy places
6. Lack of enjoyment from leisure activities in noisy places
7. Experiencing low mood because of your intolerance to sound
8. Getting tired quickly in noisy places
For Hearing Healthcare Professionals