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MEDICAL AUDIOLOGY
SERVICESCLIENT LABEL HERETINNITUS HISTORY
QUESTIONNAIRE (THE)
NATURE OF THE TINNITUS
How does the tinnitus sound?
Usual site of the tinnitus (please circle)Bartlett worse than
right,
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How to fill out tinnitus and hearing survey
How to fill out tinnitus and hearing survey
01
Begin by reading each question carefully and understanding what information is being asked for.
02
Answer honestly and to the best of your ability, providing accurate information about your tinnitus and hearing symptoms.
03
If you are unsure about a question, do not guess - it is better to leave it blank or indicate that you are unsure.
04
Take your time when filling out the survey, as your responses will help healthcare providers better understand your condition and provide appropriate care.
Who needs tinnitus and hearing survey?
01
Individuals who suspect they may have tinnitus or hearing loss.
02
Patients who have been diagnosed with tinnitus or hearing loss and are seeking treatment options.
03
Healthcare providers and researchers who are studying tinnitus and hearing disorders.
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