Global tinnitus severity test

GTS (Global Tinnitus Severity) is developed in order to by a few questions get information about the severity of your tinnitus. It helps you to personally evaluate how disturbing we think your tinnitus is in comparison with tinnitus-suffering individuals in general. It also advises you how to proceed.

GTS is an internation test that is used worlwide by tinnitus experts.

Mark below the number corresponding your answer.  

1. How big a problem is tinnitus for you just now (or during the last week)?

No problem at all
Mild
 Moderate
Big problem
Very big problem

2. How LOUD is your tinnitus now or on average during last week ?
 
No tinnitus Loudest imaginable
0 1 2 3 4 5 6 7 8 9 10

3. How ANNOYING Iis your tinnitus now  or on average during last week ?
 
Not annoying Extremely annoying
0 1 2 3 4 5 6 7 8 9 10
 
If you want, that we contact you and give advise, please fill your contact information and send it to us.

Last name:

First name:

Male
Female
Year of birth:

Mailing adress:

Email:

Email (If you want a copy of this form to you):

Phone number:

Additional information:


:
How much is seven plus two? (Compulsory, Answer with numbers)
 

All information will be handled confidentally and will not be delivered to any third party in any circumstances . Rekisteriseloste