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Weinstein’s Noise Sensitivity Scale
Name of the patient:
Your Email Address:
Please type the email address that this form needs to be sent to.
This is often the email address of your clinician who asked you to complete this form.
Following statements are describing my attitudes to noise. Answer them using the scale from 1 to 6 in following way:
1. I wouldn’t mind living on a noisy street if the apartment I had was nice.
1
2
3
4
5
6
2. I am more aware of noise than I used to be.
1
2
3
4
5
6
3. No one should mind much if someone turns up his stereo full blast once in a while.
1
2
3
4
5
6
4. At movies, whispering and crinkling candy wrappers disturb me.
1
2
3
4
5
6
5. I am easily awakened by noise.
1
2
3
4
5
6
6. If it’s noisy where I’m studying, I try to close the door or window or move somewhere else.
1
2
3
4
5
6
7. I get annoyed when my neighbours are noisy.
1
2
3
4
5
6
8. I get used to most noises without much difficulty.
1
2
3
4
5
6
9. How much would it matter to you if an apartment you were interested in renting was located across from a fire station?
1
2
3
4
5
6
10. Sometimes noises get on my nerves and get me irritated.
1
2
3
4
5
6
11. Even music I normally like will bother me if I’m trying to concentrate.
1
2
3
4
5
6
12. It wouldn’t bother me to hear the sounds of everyday living from neighbours (footsteps, running water, etc.).
1
2
3
4
5
6
13. When I want to be alone, it disturbs me to hear outside noises.
1
2
3
4
5
6
14. I’m good at concentrating no matter what is going on around me.
1
2
3
4
5
6
15. In a library, I don’t mind if people carry on a conversation if they do it quietly.
1
2
3
4
5
6
16. There are often times when I want complete silence.
1
2
3
4
5
6
17. Motorcycles ought to be required to have bigger mufflers.
1
2
3
4
5
6
18. I find it hard to relax in a place that’s noisy.
1
2
3
4
5
6
19. I get mad at people who make noise that keeps me from falling asleep or getting work done.
1
2
3
4
5
6
20. I wouldn’t mind living in an apartment with thin walls.
1
2
3
4
5
6
21. I am sensitive to noise.
1
2
3
4
5
6
Submit
For Hearing Healthcare Professionals