The following THREE questionnaires are for completion by those who have been referred to our Audiology Department’s Sound Sensitivity Service.

It is important that you answer ALL THREE questionnaires. Once you have pressed 'submit' for the 'The Hyperacusis Questionnaire' there are two further forms below named 'The MisoQuest' and the 'H.A.D.S Questionnaire' that should also be completed. You will also need to press ‘submit’ for each of these questionnaires.

They are an important part to help understand whether there are factors that might be contributing to your sound sensitivity. Once the assessment is complete we can then discuss available options to help manage your sound sensitivity and improve your quality of life.

Please complete the questionnaires BEFORE each appointment, so that there is enough time in the appointment to discuss your needs and to start your sound sensitivity programme.

If you have any difficulty completing the questionnaires, or would like to request them in paper format instead, please contact our Audiology Department on 0191 569 9001, or at stsft.audiology@nhs.net.

The Hyperacusis Questionnaire

In the following questionnaire, select the answer which best applies to you.

Your Information

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Questions

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We cannot guarantee the information submitted in this form will be transferred securely to the Trust and you submit this at your own risk.

The MisoQuest

Please indicate how much you agree or disagree with the following statements:

Your Information

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Questions

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We cannot guarantee the information submitted in this form will be transferred securely to the Trust and you submit this at your own risk.

H.A.D.S. Questionnaire

Please read each item below and choose the reply that comes closest to how you have been feeling in the past week.

Your Information

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Questions

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We cannot guarantee the information submitted in this form will be transferred securely to the Trust and you submit this at your own risk.