Tinnitus and hyperacusis therapy specialist unit

Sound Sensitivity (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. Having a problem tolerating sounds because they often seem “too loud” to them?
2. Pain in their ears when hearing certain loud sounds?
Examples: loud music, sirens, motorcycles, building work, lawn mower, train stations.
3. Discomfort (physical sensations other than ear pain) in their ears when hearing certain loud sounds?
4. Feeling angry or anxious when hearing certain sounds related to eating noises, lip smacking, sniffling, breathing, clicking sounds, tapping?
5. Feeling frightened when hearing certain loud sounds?
For Hearing Healthcare Professionals