Tinnitus Handicap Inventory

The purpose of this questionnaire is to identify, quantify, and evaluate the difficulties that you may be experiencing because of tinnitus. Please do not skip any questions.

This form is for informational purposes only and should not take the place of consultation and evaluation by a healthcare professional.

Step 1 of 714%

Patient details

Please enter the patient's name and the date this questionnaire was completed.

Patient nameDate

PATIENT QUESTIONNAIRE

Tinnitus Handicap Inventory

The purpose of this questionnaire is to identify, quantify, and evaluate the difficulties that you may be experiencing because of tinnitus. Please do not skip any questions.

This form is for informational purposes only and should not take the place of consultation and evaluation by a healthcare professional.

Step 1 of 714%

Patient details

Please enter the patient's name and the date this questionnaire was completed.

Patient nameDate

PATIENT QUESTIONNAIRE

Tinnitus Handicap Inventory

The purpose of this questionnaire is to identify, quantify, and evaluate the difficulties that you may be experiencing because of tinnitus. Please do not skip any questions.

This form is for informational purposes only and should not take the place of consultation and evaluation by a healthcare professional.

Step 1 of 714%