Check important symptoms.
Start with recent hearing changes and sounds that follow your heartbeat.
A quieter moment to understand the sound you notice—and how it affects your day.
For adults 18+. A symptom and impact questionnaire, not a diagnosis or a validated clinical score.
Start with recent hearing changes and sounds that follow your heartbeat.
Tell us where, when and how often you notice ringing, buzzing or other sounds.
Review sleep, concentration, mood and activity responses side by side.
Your answers stay in this page. Closing or refreshing clears them.
A record of what you reported—not a medical diagnosis.
Your responses over the past 7 days. These categories describe impact, not tinnitus severity or hearing loss.
This questionnaire does not identify the cause, measure tinnitus loudness in dB or match its pitch. No sound is played.
It helps you describe a sound that seems to have no outside source and its impact. A medical assessment is needed to investigate symptoms and possible causes.
This page measures reported experiences, not sound pressure or hearing thresholds. Tinnitus pitch matching and loudness assessment need a different, carefully controlled process.
This questionnaire keeps answers only in page memory. There is no account, form submission, download or print feature.
Arrange a medical assessment and mention these details. If it comes with a sudden hearing change, seek prompt care.
Information references: NIDCD: Tinnitus · NIDCD: Sudden deafness. This questionnaire helps you describe your experience. It does not provide a clinical tinnitus score.