Enrollment Criteria for Music Therapy Trial
Do you own an iPhone iTouch or iPad?
What best describes your tinnitus?
Clear selection
Describe the character of the sound futher:
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Where do you hear your tinnitus?
Clear selection
How long have you suffered from tinnitus?
Clear selection
How prevalent is your tinnitus?
Clear selection
How severe is your tinnitus?
Clear selection
Do you have a hearing impairment?
Clear selection
How many hours per day do you listen to music?
Clear selection
How do you listen to music? Mark all that apply.
Which of the following devices do you use? Mark all that apply.
Anything else that you would like to tell us about your tinnitus?
Email *
Zip Code *
Age *
Gender *
Name *
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