Better Hearing Institute

 


Tinnitus Treatment Survey

1. What percent of your patients have tinnitus? %
2. What percent of your patients with tinnitus believe their tinnitus interferes with their ability to lead a normal life?
      %
3. What percent of your patients only have tinnitus as a problem; that is their hearing is in the normal range?
      %
4. Do you use a commonly accepted measure of tinnitus severity (such as the Tinnitus Handicap Questionnaire) to assess whether the tinnitus is problematic? Yes    No
5. What percent of your tinnitus patients experience some tinnitus relief from hearing aids? %
    5a. What percent report minor relief? %

    5b. What percent report moderate relief? %

    5c. What percent report major relief? %

6. What percent of your tinnitus patients experience a worsened tinnitus from using hearing aids? %
7. How many minutes do you spend on specific tinnitus counseling with a typical tinnitus patient during their overall treatment? Minutes
8. How many specific courses or lectures on tinnitus have you attended in the last year? Courses
9. How many books or professional articles have you read on tinnitus? Books or articles
10. Do you regularly provide a self-help tinnitus book to your patients with problematic tinnitus? Yes     No
11. Does your practice include a specialized tinnitus clinic? Yes No
12. In treating tinnitus patients what percent of your patients have you fit devices which provide sound? %
13. Of those patients, what percent did you fit with the following:
    a. hearing aids %
    b. maskers %
    c. combination hearing aid / maskers %
    d. devices producing music %
    e. environmental sound generators %
    f. other (write-in )     %
14. Of those patients, what percent returned the following:
    a. hearing aids %
    b. maskers %
    c. combination hearing aid / maskers %
    d. devices producing music %
    e. environmental sound generators %
    f. other (write-in )     %
15. When you fit a masker to a tinnitus patient, in what percent of patients do you:
    a. attempt to totally mask (i.e. completely cover) the tinnitus as part of your treatment? %
    b. attempt to partially mask (i.e. so the tinnitus can still be heard) the tinnitus as part of your treatment? %
16. When you fit a hearing aid to a tinnitus patient, in what percent of patients do you:
    a. reduce the maximum output as part of your treatment? %
    b. increase the amplification of low-level sounds as part of your treatment? %
17. In a typical month, how many of your tinnitus patients have you fit with a device that produces music?
      Patients
18. What % of your tinnitus patients are not adequately served by the currently available treatment? %
19. In a typical month, how many patients do you see that have serious tinnitus? Number of patients
20. What is your occupation?
    Audiologist
    Hearing instrument specialist
    Otolaryngologist
    other () (write in)
21. In what setting do you provide tinnitus treatment for your patients? (Choose the setting which best describes your practice setting)
    Audiologist's office
    Hearing instrument specialist's office
    Otolaryngologist's office
    Family doctor's office
    Hospital
    Veterans Administration
    Medical clinic or HMO
    Department store
    Military installation
    University clinic
    Wholesale club
    Drugstore
22. In what State do you practice?

* Denotes required field