Dr. Smith has 3 offices, with the phone numbers listed below.

Call the location nearest you to schedule your appointment.

Marysville Location
937-578-2207
Tuesdays & Thursdays
9:30am - 5pm

Bellefontaine Location
937-592-1001
Monday Afternoons
Wednesday All Day

Russells Point Location
937-592-1001
By Appointment Only

Click Here for Directions

TINNITUS HANDICAP INVENTORY (THI)


Full Name:
Phone Number:
Email:


1. Because of your Tinnitus is it difficult for you to concentrate? Yes No Sometimes
2. Does the loudness of your Tinnitus make it difficult for you to hear people? Yes No Sometimes
3. Does your Tinnitus make you angry? Yes No Sometimes
4. Does your Tinnitus make you confused? Yes No Sometimes
5. Because of your Tinnitus are you desperate? Yes No Sometimes
6. Do you complain a great deal about your Tinnitus? Yes No Sometimes
7. Because of your tinnitus do you have trouble falling asleep at night? Yes No Sometimes
8. Do you feel as though you cannot escape from your Tinnitus? Yes No Sometimes
9. Does your Tinnitus interfere with your ability to enjoy social activities (such as going out to dinner, to the cinema)? Yes No Sometimes
10. Because of your Tinnitus do you feel frustrated? Yes No Sometimes
11. Because of your Tinnitus do you feel that you have a terrible disease? Yes No Sometimes
12. Does your Tinnitus make it difficult to enjoy life? Yes No Sometimes
13. Does your Tinnitus interfere with your job or household responsibilities? Yes No Sometimes
14. Because of your Tinnitus do you find that you are often irritable? Yes No Sometimes
15. Because of your Tinnitus is it difficult for you to read? Yes No Sometimes
16. Does your Tinnitus make you upset? Yes No Sometimes
17. Do you feel that your Tinnitus has placed stress on your relationships with members of your family and friends? Yes No Sometimes
18. Do you find it difficult to focus your attention away from your Tinnitus and on to other things? Yes No Sometimes
19. Do you feel that you have no control over your Tinnitus? Yes No Sometimes
20. Because of your Tinnitus do you often feel tired? Yes No Sometimes
21. Because of your Tinnitus do you feel depressed? Yes No Sometimes
22. Does your Tinnitus make you feel anxious? Yes No Sometimes
23. Do you feel you can no longer cope with your Tinnitus? Yes No Sometimes
24. Does your Tinnitus get worse when you are under stress? Yes No Sometimes
25. Does your Tinnitus make you feel insecure? Yes No Sometimes