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Tinnitus and hyperacusis therapy specialist unit

Tinnitus (Parent)

Please answer the questions with regard to your childs Tinnitus.

Over the last 2 weeks, how often would you say the following has occurred because of your childs Tinnitus?

(Use “✓” to indicate your answer)

1. Lack of concentration
2. Feeling anxious
3. Delay in falling asleep
4. Lack of enjoyment ofcertain activities
5. Inability to perform day-to-day activities/tasks
6. Feeling irritable
7. Low mood
8. Feeling worried
For Hearing Healthcare Professionals