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* 1. What do you value most about the services provided by Tinnitus UK and the support you have received?

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* 2. Which services from the following list have you used in the last 12 months? Tick all that apply.

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* 3. What action (if any) did you take as a result of your contact with Tinnitus UK? Comment only on the services you used (e.g. used helpline, you signed up to an online support group, emails, you used the information when talking with a GP or audiologist about your tinnitus, you attended training attended, you have developed new coping strategies and avoided triggers).

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* 4. Please rate, on a scale of 1 to 10 (10 being the highest), the level of influence that the service(s) have had on you. (only score those services that you have used)

  1 2 3 4 5 6 7 8 9 10 N/A
Helpline
Webchat
Chatbot
SMS/Text
Emails
Tinnitus UK forum
Online support groups
Events
Training, including an annual conference
Individual membership

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* 5. What has changed for you as a result of your contact with Tinnitus UK? Tick all that apply.

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* 6. What difference have the changes you have experienced made to you? (eg, fewer trips to GPs, greater engagement in social activities; please consider the changes you have indicated in question 5).

Please state which service(s) you are referring to in your answer.

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* 7. What difference has your contact with Tinnitus UK made to others? (Please consider areas such as health and well-being, education and skills, employment and volunteer, social and community, economic, and housing).

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* 8. How influential has Tinnitus UK been in you in the changes that you've noticed and the outcomes you've experienced?

1 (Low) 10 (High)
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i We adjusted the number you entered based on the slider’s scale.

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* 9. What would you have done if Tinnitus UK’s services hadn’t been there?

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* 10. Have there been any negative effects on you or others, because of your contact with Tinnitus UK?

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* 11. How would you rate your trust in the support and services provided by Tinnitus UK?

1 Low 10 High
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 12. How long do you believe the difference made by your contact with Tinnitus UK will last?

1 Year 5 Years
Clear
i We adjusted the number you entered based on the slider’s scale.

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