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Audiological Side Effects of Weight Loss Injections
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Thank you for participating in this survey. Your responses will help us understand the audiological side effects associated with weight loss injections. Please answer the following questions honestly based on your experiences.
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All information is kept confidential - no personal or contact details are required to complete the survey. Please consent to your answers being used to analyse the audiological effects of weight loss injection.
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to analyse the audiological effects of weight loss injection.
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1. What is your gender?
Male
Female
Prefer not to say
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2. At what age did you start your weight loss injections?
Under 18
18-25
26-39
40-65
Over 65
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3. Please select your ethnicity
White/ Caucasian
Asian
Middle Eastern
Black/ Caribbean
Other ethnic group or mixed (please state)
Prefer not to say
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3a. Did you consult a medical professional prior to starting the injections?
Yes
No
3b. If YES - Were you made aware of any potential side effects on hearing health prior to starting the injections?
(please state side effects mentioned)
Yes
No
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4. Did you try or were you offered any alternative weight loss methods prior to using injections?
Yes (please give details)
No
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5. Have you started using a weight loss injection?
Yes
No
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6. Which brand/type of weight loss injections did/do you use?
Munjaro
Ozempic
Other (please state brand/name)
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7. Did you suffer with tinnitus before starting the injections?
Yes
No
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8. Did you have any history of hearing loss before starting the injections?
Yes (please give details)
No
9a. Have you experienced tinnitus while using the injections?
Yes
No
8b. If you have stopped using the injections, have you experienced continued tinnitus symptoms since you have stopped?
Yes
No
10. Have you experienced vertigo, dizziness or balance issues whilst using the injections?
Yes
No
11. Have you noticed any hearing loss or changes to your hearing during the use of injections?
Yes (please give details)
No
12. Have you experienced any permanent hearing changes or loss after using the injections?
Yes (please give details)
No
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13. If you had known about any side effects on hearing health prior to use, would you still have used the injections?
Yes
No
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14. How long did you use or have you been using the injections?
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Less than 1 month
1-3 Months
3-6 Months
6-12 Months
Greater than 12 months
Not yet started
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15. If you had to choose, which would you consider a higher priority for yourself: weight loss or hearing health
Weight Loss
Hearing Heath
16. Please share any additional comments or experiences related to the audiological side effects of your weight loss injection journey.
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