Tinnitus Functional Index

Measures

Before you complete and send in your TFI, please ensure you have read and understood our Conditions of Use and be aware that from 1st July 2018, the CBT for Tinnitus E-Programme is therapist-supported. From 1st October 2018, the course is hosted by CourseCraft.

Please complete the TFI (Tinnitus Functional Index) below.

The aim of this questionnaire is to identify your current level of tinnitus distress. The TFI Categories are as follows:

Category 1: 0-43 (0-17% - not a problem)
Category 2: 43- 79 (18-31% - small problem)
Category 3: 79-134 (32-53% - moderate problem)
Category 4: 134-180 (54-72% - big problem)
Category 5: 180-250 (73-100% - very big problem)

Complete the questionnaire and press send.

You will receive an email confirming your TFI answers but no further emails unless you request further guidance regarding your best option at the end of this questionnaire. The CBT for Tinnitus E-Programme is here to support - not to bombard you with unnecessary emails

TINNITUS FUNCTIONAL INDEX (TFI)

CONSENT:*

I give my explicit consent for the CBT for Tinnitus E-Programme to receive details of my name, email address, country and my answers to the Tinnitus Functional Index. I give my permission to be contacted by email and for the information I give to be kept securely. I confirm that I have read and agree to the Conditions of Use of the CBT for Tinnitus E-Programme.

I agree

TFI Copyright: Oregon Health & Science University 2008 - Permission to use registered to Debbie Featherstone in 2012

Date*

Name:*

Your email*

Town/City:*

County/State:*

Country*

Other country e.g. Spain, France etc

Emergency contact (following a loss of email contact by a TEP user, it's a good idea to have a second way to be in touch - only in such cases of loss of emails)

Your mobile number (for UK and Ireland only) OR alternate email address

How did you find out about CBT for Tinnitus E-Programme?*

A new app for the CBT for Tinnitus E-Programme is nearing its launch to make it even easier to access your course. It will help us to know what type of smartphone - if any - that you use

Other device?

PLEASE READ THE FOLLOWING STATEMENT ABOUT HOW YOUR TFI RESULTS MAY BE USED FOR RESEARCH PURPOSES

* I agree that the anonymous results of my TFI may be included in future research of the Tinnitus E-Programme, by Debbie Featherstone and NIHR NHBRC (National Institute of Hearing Research, Nottingham Biomedical Research Centre) and that my personal data is NOT for publication.

Please choose your answer from the dropdown menu:*

Please read each question below carefully. To answer a question, select ONE of the numbers listed for that question (in dropdown menu)

INTRUSIVENESS: Over the PAST WEEK

1. What percentage of your time awake were you consciously AWARE OF your tinnitus?*

2. How STRONG or LOUD was your tinnitus?*

3. What percentage of your time awake were you ANNOYED by your tinnitus?*

SENSE OF CONTROL: Over the PAST WEEK

4. Did you feel IN CONTROL in regard to your tinnitus?*

5. How easy was it for you to COPE with your tinnitus?*

6. How easy was it for you to IGNORE your tinnitus?*

CONCENTRATION: Over the PAST WEEK

7. How much has tinnitus interfered with your ability to CONCENTRATE?*

8. How much has tinnitus interfered with your ability to THINK CLEARLY?*

9. How much has tinnitus interfered with your ability to FOCUS ATTENTION on other things besides your tinnitus?*

SLEEP: Over the PAST WEEK

10. How often did your tinnitus make it difficult to FALL ASLEEP or STAY ASLEEP?*

11. How often did your tinnitus cause you difficulty in getting AS MUCH SLEEP as you needed?*

12. How much of the time did your tinnitus keep you from SLEEPING as DEEPLY or as PEACEFULLY as you would have liked?*

AUDITORY: Over the PAST WEEK, how much has your tinnitus interfered with...

13. Your ability to HEAR CLEARLY?*

14. Your ability to UNDERSTAND PEOPLE who are talking?*

15. Your ability to FOLLOW CONVERSATIONS in a group or at meetings?*

RELAXATION: Over the PAST WEEK, how much has your tinnitus interfered with...

16. Your QUIET RESTING ACTIVITIES?*

17. Your ability to RELAX? *

18. Your ability to enjoy "PEACE AND QUIET"?*

QUALITY OF LIFE: Over the PAST WEEK, how much has your tinnitus interfered with...

19. Your enjoyment of SOCIAL ACTIVITIES?*

20. Your ENJOYMENT OF LIFE?*

21. Your RELATIONSHIPS with family, friends and other people?*

22. How often did your tinnitus cause you to have difficulty performing your WORK OR OTHER TASKS, such as home maintenance, school work, or caring for children or others?*

EMOTIONAL: Over the PAST WEEK

23. How ANXIOUS or WORRIED has your tinnitus made you feel?*

24. How BOTHERED or UPSET have you been because of your tinnitus?*

25. How DEPRESSED were you because of your tinnitus?*

THANK YOU for completing the TFI.

I am happy to contact you by email if you need further guidance on how to proceed*

Now, review your answers in case you want to make any changes, then press SEND

You will receive a copy of your answers in an email by return