Enrollment Criteria for Music Therapy Trial
Do you own an iPhone iTouch or iPad?
What best describes your tinnitus?
Describe the character of the sound futher:
Beeping, tone, whistling, ringing, whining, humming,
hissing, buzzing, whooshing sound
crickets, tree frogs, locusts, other
Where do you hear your tinnitus?
Mostly left ear
Mostly right ear
Diffusely in the head
How long have you suffered from tinnitus?
Less than 12 months
Between 1-5 years
More than five years
How prevalent is your tinnitus?
Several hours a week
Several hours a day
How severe is your tinnitus?
Do you have a hearing impairment?
How many hours per day do you listen to music?
Less than 1 hour
More than 2
How do you listen to music? Mark all that apply.
Music stored in iPhone or similar device
Internet streaming music,
Which of the following devices do you use? Mark all that apply.
Anything else that you would like to tell us about your tinnitus?
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