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  1. Surveys
  2. 2012
  3. March
  4. M
  5. Misophonia
0%
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How aggrivated are you with the following:
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Chewing food
Chewing gum
Snapping gum
Slurping soup
Gulping drinks
Jaw clicking
Dragging feet
Uggs
Cracking knuckles
Crying babies
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Baby sucking on pacifier
Baby sucking on a bottle
Birds chirping
Small dogs barking
Large dogs barking
Dog licking
Dog cleaning itself
Cat cleaning itself
Chewing ice
Talking on cell phone
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Someone else's loud iPod
Crinkling newspaper
Potato chip wrappers
Eating particular foods:
Popcorn
Chips
Ice cream cone
Chicken wings
Crunchy vegetables
Eating with fingers
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Hair flipping
Hair brushing
Blow dryer
Clicking of a curling iron
Overweight people eating
Smoking
Clipping nails
Cleaning under fingernails
Biting nails
Footsteps in adjoining hallway or apartment
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Clicking remote control
Channel surfing
Someone walking slow in front of you
Mints against teeth
Brushing teeth
Crouching
Sneezing
Sniffling
Blowing nose
Humming
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Whistling
Page flipping
Typing on cell phone
Slapping of a paintbrush
Mopping
Stuffed nose whistle
Silverware against teeth
Silverware against plates
Chalk on a board
Fingernails on a chalkboard
Not At All Very Mild Mild Slightly Agitated Moderately Agitated Very Agitated Severe Very Severe Most Severe - Violent
Tapping fingers/fingernails
Tapping feet
Cutting hair
Cutting paper
Filing nails
Listening to someone with a 'bubble' in their throat and they don't clear it
People speaking loudly (you can even hear them through ear plugs or noise canceling head phones)
 
 
 
When is the first time you can remember a particular noise really agitating you?
 
Age 5-10
 
Age 11-15
 
Age 16-20
 
Age 21 - 25
 
Age 26 - 30
 
Age 30 - 35
 
Age 36 - 40
 
Over age 40
 
 
 
What was that noise?
 
Chewing food
 
Chewing gum
 
Snapping gum
 
Slurping soup
 
Gulping drinks
 
Jaw clicking
 
Dragging feet
 
Uggs
 
Cracking knuckles
 
Crying babies
 
Baby sucking on pacifier
 
Baby sucking on a bottle
 
Birds chirping
 
Small dogs barking
 
Large dogs barking
 
Dog licking
 
Dog cleaning itself
 
Cat cleaning itself
 
Chewing ice
 
Talking on cell phone
 
Someone else's loud iPod
 
Crinkling newspaper
 
Potato chip wrappers
 
Eating particular foods:
 
Popcorn
 
Chips
 
Ice cream cone
 
Chicken wings
 
Crunchy vegetables
 
Eating with fingers
 
Hair flipping
 
Hair brushing
 
Blow dryer
 
Clicking of a curling iron
 
Overweight people eating
 
Smoking
 
Clipping nails
 
Cleaning under fingernails
 
Biting nails
 
Footsteps in adjoining hallway or apartment
 
Clicking remote control
 
Channel surfing
 
Someone walking slow in front of you
 
Mints against teeth
 
Brushing teeth
 
Crouching
 
Sneezing
 
Sniffling
 
Blowing nose
 
Humming
 
Whistling
 
Page flipping
 
Typing on cell phone
 
Slapping of a paintbrush
 
Mopping
 
Stuffed nose whistle
 
Silverware against teeth
 
Silverware against plates
 
Chalk on a board
 
Fingernails on a chalkboard
 
Tapping fingers/fingernails
 
Tapping feet
 
Cutting hair
 
Cutting paper
 
Filing nails
 
Other
 
 
 
 
Do you believe it's progressively gotten better or more severe over time?
 
It's getting better
 
It's been the same
 
It's getting progressively worse
 
 
 
Did your family accommodate your dislikes or dismiss it and have you just "deal with it"?
 
They were very accommodating
 
They were somewhat accommodating
 
They did not understand at all and I just learned to try to deal with it
 
 
 
Do you have other siblings?
 
Yes
 
No
 
 
 
If so, are they older or younger?
 
Older
 
Younger
 
Both
 
 
 
Does anyone else in your family suffer from Misophonia?
 
Yes
 
No
 
 
 
If you answered yes to the last question, please enter any relative of yours that suffers from Misophonia
 
Mom
 
Dad
 
Brother
 
Sister
 
Aunt
 
Uncle
 
Cousin
 
Grandmother
 
Grandfather
 
If more than one relative please list them all here
 
 
 
 
Did you ever feel like you had to alienate yourself from certain situations in the early stages?
 
Yes
 
No
 
Thank you for answering these questions. You are helping us learn more about Misophonia.
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