Tinnitus Functional Index

Please read each question below carefully. To answer a question, select ONE of the numbers that is listed for that question. Tinnitus Functional Index (TFI) was developed by Meikle and Henry et al (2012) and is recommended to be used in the UK by the NICE guidelines 2020.

Your Name:

Your Email:

Your Phone Number:

I. Over the past week...

1- What percentage of your time awake were you consciously AWARE of your tinnitus?

Never Always

Awareness: 0 - Unaware

2- How STRONG or LOUD was your tinnitus?

Not Loud Loudest

Loudness: 0 - Not Loud

3- What percentage of your time awake were you ANNOYED by your tinnitus?

None of the Time Everytime

Annoyance: 0 - Not Annoying

SC. Over the past week...

4- Did you feel IN CONTROL of your tinnitus?

In Control No Control

Controllable: 0 - Controllable

5- How easy was it for you to COPE with your tinnitus?

Easy Impossible

Coping Difficulty: 0 - Very Easy

6- How easy was it for you to IGNORE your tinnitus?

Easy Impossible

Persistence: 0 - Very Easy

C. Over the past week how often did your tinnitus interfere with...

7- Your ability to CONCENTRATE?

Never Interfered

Interference: 0 - Did not Interfere

8- Your ability to THINK CLEARLY?

Never Interfered

Interference: 0 - Did not Interfere

9- Your ability to FOCUS YOUR ATTENTION on other things beside your Tinnitus?

Never Interfered

Interference: 0 - Did not Interfere

SL. Over the past week...

10- How often did your Tinnitus make it difficult to FALL ASLEEP or STAY ASLEEP?

Very Easy Impossible

Sleep Difficulty: 0 - Very Easy

11- How often did your Tinnitus cause you difficulty in getting AS MUCH SLEEP as you needed?

Very Easy Impossible

Sleep Difficulty: 0 -Never Had Any Difficulty

12- How much of the time did your tinnitus keep you from SLEEPING as DEEPLY or as PEACEFULLY as you would have liked?

Never Always

Sleep Difficulty: 0 - Never

Over the past week how much has your tinnitus interfered with...

13- Your ability to HEAR CLEARLY?

Never Interfered

Interference: 0 - Did not Interfere

14- Your ability to UNDERSTAND PEOPLE who are talking?

Never Interfered

Interference: 0 - Did not Interfere

15- Your ability to FOLLOW CONVERSATIONS in a group or at meetings?

Never Interfered

Interference: 0 - Did not Interfere

R. Over the past week how much has your tinnitus interfered with...

16- Your QUIET RESTING ACTIVITIES?

Never Interfered:

Interference: 0 - Not At All

17- Your ability to RELAX?

Never Interfered:

Interference: 0 - Not At All

18- Your ability to enjoy "PEACE AND QUIET"?

Never Interfered:

Interference: 0 - Not At All

Q. Over the past week how much has your tinnitus interfered with...

19- Your enjoyment of SOCIAL ACTIVITIES?

Never Interfered

Interference: 0 - Not At All

20- Your ENJOYMENT OF LIFE?

Never Interfered

Interference: 0 - Not At All

21- Your RELATIONSHIPS with friends, family and other people?

Never Interfered

Interference: 0 - Not At All

22- How often did your tinnitus cause you to have difficulty performing your WORK OR OTHER TASKS, such as home maintenance, school work or caring for children or others?

Never Interfered

Interference: 0 - Not At All

Q. Over the past week how much has your tinnitus interfered with...

23- How ANXIOUS or WORRIED has your tinnitus made you feel?

Not Worried Anxious

Interference: 0 - Not At All

24- How BOTHERED or UPSET have you been because of your tinnitus?

Not Bothered Upset

Interference: 0 - Not At All

25- How DEPRESSED were you because of your tinnitus?

Not Depressed Extremely Depressed

Not Dep: 0 - Not At All

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