Instructions

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Instructions

Once you have used the TinnMasker™ application, use the form below to share your experiences and help improve the product going forward.

Please provide your name . *

This will help us identify you amongst our trial participants.

Please provide your e-mail address. *

We may need to contact you for clarification.

I have tinnitus in: *

my left ear only

my right ear only

both my ears (same sound)

both my ears (different sound)

What kind of sound do you hear? *

ringing

buzzing

roaring

clicking

hissing

humming

Other:

I have suffered from tinnitus for: *

As long as I can remember

Less than one year

All my adult life

Other:

I believe my tinnitus is a result of:

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