Tinnitus and hyperacusis therapy specialist unit

SAD-T (Parent)

Over the last 2 weeks, how often has your child been bothered by any of the following problems?

For each question please select one number based on how you are feeling now. (Use “✓” to indicate your answer)

1. Feeling nervous, anxious or on edge	0 – 1 day	2 – 6 days	7 – 10 days	11 – 14 days
2. Not being able to stop or control worrying	0 – 1 day	2 – 6 days	7 – 10 days	11 – 14 days
3. Little interest or pleasure in doing things	0 – 1 day	2 – 6 days	7 – 10 days	11 – 14 days
4. Feeling down, depressed or hopeless	0 – 1 day	2 – 6 days	7 – 10 days	11 – 14 days