Duke Misophonia Questionnaire (DMQ)

The Duke Misophonia Questionnaire (DMQ) is the first psychometrically validated self-report measure of Misophonia using factor analytic procedures combined with IRT in an English-speaking sample. The DMQ can be used in its totality, as individual subscales or with composite scores of symptom severity or difficulties coping. 

DMQ Instructions:


The final DMQ has 86 items and includes subscales:

  1. Trigger Frequency (16 items)
  2. Affective Responses (8 items)
  3. Physiological Responses (5 items)
  4. Cognitive Responses (10 items)
  5. Coping Before (triggered) (6 items)
  6. Coping During (triggered) (10 items)
  7. Coping After (triggered) (5 items)
  8. Impairment (12 items)
  9. Beliefs (14 items)

Trigger Frequency

The trigger frequency subscale includes a trigger checklist that can be used to quickly identify an individual’s triggers. The rest of the measure uses the most bothersome trigger, rather than all potential triggers. This subscale can be used by clinicians to identify patterns and opportunities for change.

Symptom Severity

  • Affective Responses Score
    • Sum of Affect #1-8
  • Physiological Responses Score
    • Sum of Physical #1-5
  • Cognitive Responses Score
    • Sum of Cognitive #1-10

The sum of the Affective, Physiological, and Cognitive Responses subscales (23 items total) equals the overall Symptom Severity Composite Score. Scores greater than 41 are indicative of higher misophonia symptoms. This can be interpreted quantitatively. 


Can be scored using the following subscales individually:

  • Coping Before (triggered) Score
    • Sum of Coping Before #1-6
  • Coping During (triggered) Score
    • Sum of Coping During #1-10
  • Coping After (triggered) Score
    • Sum of Coping After #1-5

Individual subscale scores can be interpreted quantitatively. Coping Before, Coping During, and Coping After (triggered) subscales can be used collectively to identify common coping strategies that that may be helpful or unhelpful. We recommend using these at the item level qualitatively. 


Beliefs can be scored using the Beliefs Score (sum of Beliefs #1-14). This can be used to identify problematic ways of thinking that can be changed. We recommend using these at the item level qualitatively.


Impairment can be scored using the Impairment Score (sum of Impairment #1-12). This can be interpreted quantitatively.

Clinical Impairment Ranges

0-13: "minimal-mild impairment"
14-38: "moderate impairment"
39-48: "severe to very severe impairment"


The latest fillable PDF version of the DMQ is available here to download for use clinically and/or for research:

Download Duke Misophonia Questionnaire (DMQ) PDF Version

Download Duke Misophonia Questionnaire (DMQ) Word Version