This free survey is powered by
0%
Questions marked with an * are required Exit Survey
 
 
* What year did Misophonia began?
 
Before age 5
 
Age 6-10
 
10-15
 
15-20
 
20-30
 
30-40
 
I Don't Remember
 
Other
 
 
 
 
* In addition to sound triggers, do you experience visual triggers?
 
Yes
 
No
 
 
 
* Prior to developing Misophonia, did you suffer any head trauma?
 
Yes
 
No
 
I'm not sure
 
 
 
* Did you suffer any abuse before developing Misophonia?
 
Yes
 
No
 
I'm not sure
 
 
 
* Which sounds trigger you?
 
Chewing
 
Swallowing
 
Burping
 
Coughing
 
Teeth sucking
 
Slurping
 
Lip/tongue smacking
 
Wheezing
 
Sniffling
 
Gargling
 
Snoring
 
Crunchy sounds
 
Dog barking
 
Lisps
 
Hissing sounds
 
Wind
 
Wind chimes
 
Singing
 
People singing badly or out of tune
 
Tapping
 
Heavy breathing
 
Other
 

 
 
 
* When being trigger, how do you feel?
 
Anger(but not wrath)
 
Wrath
 
Sadness(but not suicidal)
 
Suicidal
 
Homicidal(want to kill other people)
 
Feel like running away
 
Anxiety
 
Other
 

 
 
 
Has sexual arousal ever happened while being triggered?
 
Yes
 
No
 
After being triggered
 
 
 
Over the years, have you developed new triggers?
 
Yes
 
No
 
I'm not sure
 
 
 
Are triggers more severe if it comes from someone you know or love?
 
Yes, more severe from someone I know
 
Yes, more severe from someone I love
 
Yes, more severe for both
 
No, equal intensity for everyone
 
 
 
Do you avoid places where you can anticipate your triggers will be?
 
Yes, Always
 
Yes, Sometimes
 
Yes, Most of the time
 
Yes, if I'm able to
 
No
 
Share This Survey:          Online Survey Tool Powered by  QuestionPro Survey Software