May 2005

Tinnitus questionnaire

The Purpose

Tinnitus (persistent ringing in the ears) is the most common symptom of acoustic neuroma (AN) patients. Members of the acoustic neuroma support mailing list are invited to answer this questionnaire. Shared experience can help us find solutions. Results will be sent by email to all who participate. You can see a summary on the tinnitus survey analysis page. Individual participants will not be identified.


About yourself

Your email address:
Gender? male female
Age group? <20 20-40 41-60 >60

General information

Which side is your AN left right both
Do you presently suffer from tinnitus? yes no
Which side is your tinnitus
left right both
Would you describe it as:
mild severe very severe
Have you tried any method of reducing tinnitus (medication, meditation, noise masker, accupuncture... )? yes no
Please give a brief description or use the comment box below if you have tried more than one method.
Was it effective?
yes no somewhat

Before AN treatment

Prior to tinnitus did you work in a noisy environment without appropriate ear protection? yes no
Prior to tinnitus did you go to loud pop concerts or have any hobbies that involved loud noise? yes no
Did you suffer from tinnitus prior to the discovery of your AN? yes no
If so, approximately how long did you suffer from tinnitus before the AN was discovered?
Do you consider the presence of tinnitus helped in the diagnosis/discovery of your AN? yes no

After AN treatment

What type of AN treatment did you choose? surgery radiation none
How did your tinnitus evolve after AN treatment?
improved unchanged worsened
If there was a change after treatment, how long did it take?

Comments

Add any comments here if you wish:

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