Tinnitus Handicap Calculator
Assess tinnitus severity and impact using the Tinnitus Handicap Inventory (THI) questionnaire.
Tinnitus Handicap Inventory
For each question, select: Yes (4), Sometimes (2), or No (0)
1. Because of your tinnitus, is it difficult for you to concentrate?
2. Does the loudness of your tinnitus make it difficult for you to hear people?
3. Does your tinnitus make you angry?
4. Does your tinnitus make you feel confused?
5. Because of your tinnitus, do you feel desperate?
6. Do you complain a great deal about your tinnitus?
7. Because of your tinnitus, do you have trouble falling asleep at night?
8. Do you feel as though you cannot escape your tinnitus?
9. Does your tinnitus interfere with your ability to enjoy social activities?
10. Because of your tinnitus, do you feel frustrated?
11. Because of your tinnitus, do you feel that you have a terrible disease?
12. Does your tinnitus make it difficult for you to enjoy life?
13. Does your tinnitus interfere with your job or household responsibilities?
14. Because of your tinnitus, do you find that you are often irritable?
15. Because of your tinnitus, is it difficult for you to read?
16. Does your tinnitus make you upset?
17. Do you feel that your tinnitus problem has placed stress on your relationships?
18. Do you find it difficult to focus your attention away from your tinnitus?
19. Do you feel that you have no control over your tinnitus?
20. Because of your tinnitus, do you often feel tired?
21. Because of your tinnitus, do you feel depressed?
22. Does your tinnitus make you feel anxious?
23. Do you feel that you can no longer cope with your tinnitus?
24. Does your tinnitus get worse when you are under stress?
25. Does your tinnitus make you feel insecure?
THI Total Score
50/100
Grade 3: Moderate Handicap
Functional
24
/44
Emotional
18
/36
Catastrophic
8
/20
Interpretation
Tinnitus may be noticed even during activity. Can disturb sleep and quiet activities. Still manageable with effort.
Recommendations
- • Audiological evaluation for hearing assessment
- • Consider sound therapy or masking devices
- • Cognitive behavioral therapy (CBT) for tinnitus
- • Tinnitus retraining therapy (TRT)
- • Sleep hygiene optimization
THI Severity Grades
0-16: Grade 1 - Slight/No Handicap
18-36: Grade 2 - Mild Handicap
38-56: Grade 3 - Moderate Handicap
58-76: Grade 4 - Severe Handicap
78-100: Grade 5 - Catastrophic Handicap
Disclaimer: The THI is a self-assessment tool and does not replace medical evaluation. Tinnitus can have various underlying causes. Consult an audiologist or ENT specialist for proper diagnosis and treatment planning.