Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Tinnitool Session

Name: Rudra Sinha


Age: 30
Gender: Male

Assessment:

1. Do you have tinnitus? – Yes


2. In Which ear Do you have tinnitus? – Right
3. How Do you hear nature of tinnitus? – Tonnal
4. Pitch Matching: Left – 58 Hz    Right – 80 Hz
5. Loudness Matching: Left – 90 dB    Right – 90 dB
6. Minimal Matching: Left – 25 dB    Right – 80 dB
7. How often are you suffering from tinnitus? – Occationally
8. Speech Recognition threshold: Left – 85 dB    Right – 80 dB
9. Most Comfortable listening level (MCL): Left – 80 dB    Right – 80 dB
10. Loudness discomfort level (LDL): Left – 0 dB    Right – 80 dB
11. Speech Discrimination: Left – 80 dB    Right – 80 dB
12. Residual inhibation: Left – 80 dB    Right – 80 dB

Audiometry:

Frequency Left Right


125 Hz 0 dB 0 dB
250 Hz 0 db 0 db
500 Hz 0 db 0 db
750 Hz 0 db 0 db
1000 Hz 0 db 0 db
1500 Hz 0 db 0 db
2000 Hz 0 db 0 db
3000 Hz 0 db 0 db
4000 Hz 0 db 0 db
6000 Hz 0 db 0 db
8000 Hz 0 db 0 db

Evaluation

Date: 21 April 2019


Pre Therapy: 30 % _________________________
Post Therapy: 40 % Audiologist Signature

You might also like