Tinnitus Screening Tool 🧏 Tinnitus Screening & Diagnostic Tool Do you hear sound without any external source? No Yes Duration of tinnitus < 1 week 1–4 weeks > 1 month Which ear is affected? Both ears Right ear Left ear Nature of sound Ringing / Buzzing Hissing Roaring Clicking Pulsatile (heartbeat-like) Pattern Continuous Intermittent When is it worse? Night Stress After noise No specific trigger Associated hearing loss? No Yes Ear fullness / pressure? No Yes Hyperacusis? No Yes Vertigo or imbalance? No Yes Neurological symptoms (facial weakness, numbness, vision issues)? No Yes Does tinnitus change with jaw or neck movement? No Yes History of loud noise exposure? No Yes History of ototoxic drug use? No Yes Any of the following? None Hypertension Diabetes Thyroid disorder Anaemia Anxiety / stress Middle Ear Symptoms Ear pain (otalgia)? No Yes Ear discharge? No Yes History of recurrent ear infections? No Yes Feeling of ear blockage/fullness that improves on swallowing? No Yes Hearing loss more like “blocked ear”? No Yes Impact Assessment Sleep disturbance due to tinnitus Not at all Mild Moderate Severe Difficulty concentrating Not at all Mild Moderate Severe Emotional distress Not at all Mild Moderate Severe Submit