Anonymous submission

Share your data

Everything is anonymous. We never collect your name, email, address or any identifying information. Required fields are marked with *. Optional sections are clearly marked — skip any that feel like too much.

About you

Basic context only — no identifiers.

Country *Age range *Gender *When symptoms started

I'm a doctor or clinician submitting on behalf of a patient

Symptoms and main problem

Symptoms you experience, plus your single biggest issue right now.

Which symptoms do you experience? *Select all that apply.

What is your main sound-related problem right now?Choose one — this gives the clearest statistics.

Severity *

Pick the level that best matches your average daily life right now, not only your worst day.

Has your severity changed since your worst point?

Cause and onset

Suspected cause(s)Select all that apply — many people have more than one contributing factor.

How did symptoms begin?Do you know the approximate trigger event/date?

Sound tolerance

Which sounds can you reliably tolerate right now?

Voices

Digital audio

Household sounds

Outside / public places

Sudden sounds

None

Hardest sounds

Which sounds are hardest for you right now? Up to 5 (0/5).

Daily life impact

Work or studyHomebound statusSocial life impactHow often do you leave home?Do people around you understand your condition?

Setbacks

Do you have setbacks after sound exposure?After a bad sound exposure, symptoms usually last…After a setback, do you return to baseline?

What usually triggers setbacks?Select all that apply.

Hearing protection

How often do you use hearing protection?

Symptoms list

Select all symptoms you experience.

Treatments

What you have tried — and what effect it had.

Treatments tried

Strategies

What has had the biggest effect on your symptoms — for better or worse.

What helped your symptoms most?

What made your symptoms worse?

Medical care

Doctors seen

Medical care experience — optionalExpand

Have you felt understood by medical professionals?Were you given advice that helped?Have you received a formal diagnosis?

Your story (optional)

A short anonymous note. Please don't include names or identifying details.

I'm happy for this anonymous quote to appear publicly.

By submitting, you confirm the information is your own self-report and may be shown as part of aggregated, anonymous statistics. You'll get an anonymous follow-up code on the next screen so you can update your data later.