Welcome to our Clinic

Please complete the Tinnitus Reactions Questionnaire below prior to your appointment.

Help is at hand…

If you have any difficulties with the forms please leave the space blank and we will help you during your visit.
You can also contact reception at admin@healthyhearing.com.au if you have any questions.


Tinnitus Reaction Questionnaire
  • Date Format: DD dash MM dash YYYY
  • This questionnaire is designed to find out what sort of effects tinnitus has had on your lifestyle, general well-being, etc.

    Some of the effects below may apply to you, some may not. Please answer ALL questions by choosing which option best reflects how your tinnitus has affected you over the past week.

Acknowledgement: Wilson et al. 1991