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22. Does taking a nap during the day affect your tinnitus?

worsens my tinnitus

reduces my tinnitus

has no effect

23. Is there any relationship between sleep at night and your tinnitus during the day ?

YES

NO

I don t know

24. Does stress influence your tinnitus?

worsens my tinnitus

reduces my tinnitus

has no effect

25. Does medication have an effect on your tinnitus?

Medication

Effect / Details

26. Do you think you have a hearing problem?

YES

NO

27. Do you wear hearing aids?

Right

Left

Both

None

28. Do you have a problem tolerating sounds because they often seem much too loud ? That

is, do you often find too loud or hurtful sounds which other people around you find quite

comfortable ?

Never

Rarely

Sometimes

Usually

Always

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