For Health Care Providers

Two questionnaires that may be useful for professionals working with patients who experience tinnitus are provided as downloadable documents in an Excel spreadsheet format.

These questionnaires may be used to identify specific areas of a patient’s life that are affected by tinnitus as well as to monitor a patient’s progress with a particular treatment.

The Iowa Tinnitus Handicap Questionnaire was developed and psychometrically measured by Francis K. Kuk, Richard S. Tyler, Daniel Russell, and Herbert Jordan in 1990. Three factors are examined that include the physical, emotional, and social consequences of tinnitus, the hearing ability of the patient, and the patients’ view of tinnitus.

The Iowa Tinnitus Activities Questionnaire looks at the emotional aspect of tinnitus as well as problems that are associated with concentration, hearing, and sleep due to tinnitus.

Each document contains a scoring component, and we offer two different versions of each questionnaire. The scoring component can be found on the downloaded Excel document by clicking on the "remark" tab near the bottom of the spreadsheet page.

Translations of these questionnaires are available in a growing number of languages.

Download Questionnaires

English

عربي (Arabic)

Nederlands (Dutch)

Français (French)

Deutsch (German)

German version provided by Ilse M. Zalaman, DP and Ingo Baumann, MD
Deutsche Übersetzung von Ilse M. Zalaman, DP und Ingo Baumann, MD

Iowa Tinnitus-Aktivitätenfragebogen Version 1
Iowa Tinnitus-Aktivitätenfragebogen Version 2

Iowa Tinnitus-Handicap-Fragebogen Version 1
Iowa Tinnitus-Handicap-Fragebogen Version 2

हिन्दी (Hindi)

한국인 (Korean)

lietuvių (Lithuanian)

فارسی (Persian)

Polski (Polish)

Português (Portugese)

中国人 (Chinese)

繁體中文 (Traditional Chinese)

Русский (Russian)

Española (Spanish)

Türkçe (Turkish)

українська (Ukrainian)

References

Jun HJ, Yoo, IW , Hwang, SJ, Kwang, SY. 2015. Validation of a Korean version of the Tinnitus Handicap Questionnaire. Clin Exp Otorhinolaryngol 8, 198-201. 

Vanneste S, To, WT, De Ridder, D. 2011. The psychometric properties of the Tinnitus Handicap Questionnaire in a Dutch-speaking population. Clin Otolaryngol. 36, 9-16.  

Nahad HA, Rouzbahani, M,  Jarollahi, F,  Jalaie, S, Pourbakht, A, Helnaz Mokrian, H., et al. 2014. Translation, validity, and reliability of a Persian version of the Iowa tinnitus handicap questionnaire. Iran J Otorhinolaryngol 26, 79-88.