Pulsatile tinnitus · before your appointment
A whoosh in the ear is hard to describe and impossible to compare from one visit to the next. This page turns it into numbers. It asks the questions I ask in clinic, then scores two published tools: the Tinnitus Handicap Inventory (THI) and the Cerebral Venous Disorders Severity Scale (CVDSS). It takes about ten minutes. At the end you get a one-page summary to print or save and bring with you.
Bring this to your appointment. Print it, save it as a PDF, or copy the text into an email or note.
What the scores are for. They give a baseline. If you go on to have treatment, repeating the same questionnaire afterwards shows whether it worked, in your own numbers rather than anyone's impression. A low score does not mean there is no cause, and a high score does not mean the cause is dangerous.
References. Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996;122:143–148. McCombe A, Baguley D, Coles R, et al. Guidelines for the grading of tinnitus severity. Clin Otolaryngol Allied Sci 2001;26:388–393. Fargen KM, Amans MR, Hui FK. The Cerebral Venous Disorders Severity Scale. J NeuroIntervent Surg 2025;17:115–116.
Disclaimer. This questionnaire is for use ahead of a consultation. It does not diagnose anything and does not replace a clinical assessment. If the noise comes with a sudden severe headache, new weakness, speech or vision loss, or follows a head or neck injury, call 999 or go to A&E. For other urgent concerns call NHS 111. About pulsatile tinnitus · Contact