Tinnitus Survey

Please answer the question below to the best of your ability. After you choose your answer, the next question will appear. At the end of the survey, you will be provided with a score, and you may send this score to us so we may discuss any hearing loss issues you are having.

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Because of your tinnitus, is it difficult for you to concentrate?

Does the loudness of your tinnitus make it difficult for you to hear people?

Does your tinnitus make you angry?

Does your tinnitus make you feel confused?

Because of your tinnitus, do you feel desperate?

Do you complain a great deal about your tinnitus?

Because of your tinnitus, do you have trouble falling to sleep at night?

Do you feel as though you cannot escape your tinnitus?

Does your tinnitus interfere with your ability to enjoy your social activities (such as going out to dinner, to the movies)?

Because of your tinnitus, do you feel frustrated?

Because of your tinnitus, do you feel that you have a terrible disease?

Does your tinnitus make it difficult for you to enjoy life?

Does your tinnitus interfere with your job or household responsibilities?

Because of your tinnitus, do you find that you are often irritable?

Because of your tinnitus, is it difficult for you to read?

Does your tinnitus make you upset?

Do you feel that your tinnitus problem has placed stress on your relationships with members of your family and friends?

Do you find it difficult to focus your attention away from your tinnitus and on other things?

Do you feel that you have no control over your tinnitus?

Because of your tinnitus, do you often feel tired?

Because of your tinnitus, do you feel depressed?

Does your tinnitus make you feel anxious?

Do you feel that you can no longer cope with your tinnitus?

Does your tinnitus get worse when you are under stress?

Does your tinnitus make you feel insecure?

You received a score of 100

Slight Impact – Your tinnitus does not interfere with daily activities.

Your results indicate tinnitus may not be affecting your quality of life. For more information about tinnitus, contact our office today.

Mild Impact – Your tinnitus may occasionally interfere with sleep but not daily activities.

Your results indicate your tinnitus may be affecting your quality of life. We recommend you contact our office today for an appointment with one of our hearing healthcare providers to discuss your unique tinnitus.

Moderate Impact – Your tinnitus can be distracting, even in busy environments.

Your results indicate your tinnitus may be affecting your quality of life. We recommend you contact our office today for an appointment with one of our hearing healthcare providers to discuss your unique tinnitus.

Severe Impact – Your tinnitus can interfere with sleep patterns and any activity.

Your results indicate your tinnitus may be affecting your quality of life. We recommend you contact our office today for an appointment with one of our hearing healthcare providers to discuss your unique tinnitus.




    Frequently Asked Questions

    Do I still need in-office visits if I do concierge hearing care?

    While many follow-up appointments and hearing aid adjustments can be completed remotely, some services—such as hearing evaluations, ear examinations, or new hearing aid fittings—are best performed in person. We’ll help you determine which visits can be handled remotely.

    Can older adults use remote hearing care?

    Of course! Many older adults enjoy the convenience of remote hearing care, especially if traveling is difficult or if they are traveling to see grandkids and friends. Our team provides simple instructions and support to make the technology easy to use, and family members are always welcome to assist during appointments. Just give us a call at (651) 661-1052 to set up a remote hearing care appointment.

    Can patients outside Hastings receive remote hearing aid support?

    Absolutely! If you move, if your hearing aids came from us, or your hearing aids are compatible with our remote programming, we can often provide ongoing support even if you live or move outside of Hastings. We can also do this if you are temporarily away from home and traveling. We’ll let you know if your devices are eligible and if we see any concerns with servicing your location remotely or via telehealth. Contact us by phone today to get more information. Just give us a call at (651) 661-1052.

    Can snowbirds receive hearing aid adjustments while traveling?

    Yes! We absolutely love our snowbird patients and happily serve our patients a they travel with a variety of needs. One of the biggest benefits of remote hearing care is that many hearing aid programming adjustments can be completed while you’re away from Minnesota. Whether you’re spending the winter in Arizona, Florida, or elsewhere, we’re often able to help you stay connected without interrupting your travels.