Table 4. Tinnitus Handicap Inventory Severity Scale

Grade Score Description
1 0-16 Slight: Only heard in quiet environment, very easily masked. No interference with sleep or daily activities.
2 18-36 Mild: Easily masked by environmental sounds and easily forgotten with activities. May occasionally interfere with sleep but not daily activities.
3 38-56 Moderate: May be noticed, even in the presence of background or environmental noise, although daily activities may still be performed.
4 58-76 Severe: Almost always heard, rarely, if ever, masked. Leads to disturbed sleep pattern and can interfere with ability to carry out normal daily activities. Quiet activities affected adversely.
5 78-100 Catastrophic: Always heard, disturbed sleep patterns, difficulty with any activity.