>

Tinnitus E-Programme

Go to content

Thank you for completing this short questionnaire. Your answers help me to understand what has led to you enrolling on the CBT for Tinnitus E-Programme (TEP) Please complete AFTER YOU ARE ENROLLED and BEFORE YOUR FIRST 1-1 APPOINTMENT - thank you!


I give my explicit consent for the CBT for Tinnitus E-Programme to receive details of my name, email address, country and my Mini-history details. 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.















About your hearing







Thank you for completing your Mini-History.

When you press Send, you will receive an email that contains a copy of your responses
Back to content