{
  "assessmentTests": {
    "misophonia_screener": {
      "name": "Sound Sensitivity Check-In",
      "desc": "A 20-question self-reflection across four domains: trigger sensitivity, physiological reaction, avoidance behavior, and relational impact.",
      "recommendation": "Your sound sensitivity profile",
      "questions": [
        {
          "question": "The sound of someone chewing with their mouth open makes it hard for me to focus on anything else.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I notice repetitive sounds, like tapping, clicking, or throat-clearing, before anyone else in the room does.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A single sniffle or lip-smacking sound can pull my attention away from a conversation instantly.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Certain everyday sounds bother me far more than they seem to bother other people.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Once I've noticed a trigger sound, I can't stop hearing it for the rest of the encounter.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "When I hear a trigger sound, my body tenses up before I've even consciously registered why.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My heart rate speeds up or my chest feels tight when certain sounds catch me off guard.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel a flash of heat or anger wash over me in response to specific sounds.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Trigger sounds make me feel an urge to flee the room, even when nothing else is wrong.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "The physical reaction to a trigger sound feels bigger than the sound itself would seem to justify.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've changed where I sit at a table specifically to avoid being near someone eating.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I use headphones or background noise to mask sounds I know will bother me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've skipped a meal with others, or eaten separately, to avoid trigger sounds.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I plan my seating, routes, or schedule around avoiding certain sounds before I even arrive somewhere.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've left a room or a shared space specifically to get away from a sound.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've snapped at someone close to me because of a sound they were making, then felt bad about it after.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "People in my life have noticed that certain sounds they make seem to bother me more than they should.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've asked someone to stop eating, tapping, or making a repetitive sound in a way that felt tense or urgent.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My reaction to trigger sounds has caused friction in a relationship that matters to me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I worry that my reaction to certain sounds makes me seem unreasonable to people who don't experience it.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "trigger_sensitivity": {
          "name": "Trigger Sensitivity",
          "desc": "How strongly specific everyday sounds, chewing, tapping, sniffling, capture and hold your attention compared to the people around you.",
          "high": "Trigger sounds jump out at you instantly and are hard to tune out once noticed, even in a room full of other noise.",
          "low": "Everyday sounds mostly blend into the background for you, and you rarely find yourself fixated on one specific noise.",
          "icon": "👂",
          "science": "Rosenthal, M.Z., et al. (2021). The Duke Misophonia Questionnaire: A Scale for Measuring Misophonic Symptoms. Frontiers in Psychology, 12:709928."
        },
        "physiological_reaction": {
          "name": "Physiological Reaction",
          "desc": "The bodily fight-or-flight response, tension, heat, a racing heart, that certain sounds set off in you.",
          "high": "Trigger sounds set off a real physical reaction in your body, not just irritation, closer to a jolt of alarm or anger.",
          "low": "Sounds that bother other people rarely produce a strong physical reaction in you; irritation stays mild and passes quickly.",
          "icon": "🔥",
          "science": "Rosenthal, M.Z., et al. (2021). The Duke Misophonia Questionnaire: A Scale for Measuring Misophonic Symptoms. Frontiers in Psychology, 12:709928."
        },
        "avoidance_behavior": {
          "name": "Avoidance Behavior",
          "desc": "How much you rearrange seating, routines, or plans specifically to stay away from trigger sounds.",
          "high": "You actively plan around trigger sounds, headphones, seating choices, skipped meals, well before you're ever exposed to them.",
          "low": "You rarely think ahead about trigger sounds; they don't shape where you sit or how you plan your day.",
          "icon": "🚪",
          "science": "Rosenthal, M.Z., et al. (2021). The Duke Misophonia Questionnaire: A Scale for Measuring Misophonic Symptoms. Frontiers in Psychology, 12:709928."
        },
        "relational_impact": {
          "name": "Relational Impact",
          "desc": "How much trigger-sound reactions affect your patience, warmth, and closeness with the people around you.",
          "high": "Trigger sounds have caused real friction with people close to you, snapping, tension, or asked-for changes that strain the relationship.",
          "low": "Sound sensitivity hasn't created noticeable tension in your relationships; the people around you wouldn't necessarily know.",
          "icon": "💬",
          "science": "Rosenthal, M.Z., et al. (2021). The Duke Misophonia Questionnaire: A Scale for Measuring Misophonic Symptoms. Frontiers in Psychology, 12:709928."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Sound Sensitivity",
          "desc": "Everyday sounds don't seem to trigger a strong reaction in you. You may notice the occasional annoying noise like anyone else, but it doesn't shape your behavior, your body's stress response, or your relationships in any noticeable way.",
          "recommendation": "Your responses suggest sound sensitivity isn't a significant pattern for you right now. If that ever changes, or if you want to understand your baseline better, the four domains above are a good place to check back in."
        },
        "mild": {
          "name": "Mild Sound Sensitivity",
          "desc": "Certain sounds catch your attention more than they seem to for other people, and you may already be making small adjustments, headphones, seating choices, without thinking of it as a pattern. The physical and relational impact is still fairly contained.",
          "recommendation": "This is a good moment to notice which specific sounds and situations trigger a reaction, before any avoidance habits harden. Simple environmental adjustments, like proactive headphone use, tend to help most at this stage."
        },
        "moderate": {
          "name": "Moderate Sound Sensitivity",
          "desc": "Trigger sounds are setting off a real physical reaction for you, and you're likely already rearranging routines or relationships to manage them. This is a well-recognized pattern, not something to push through on willpower alone.",
          "recommendation": "Consider talking to a therapist or audiologist familiar with misophonia. Cognitive Behavioral Therapy (CBT) adapted for misophonia and sound-based approaches like Tinnitus Retraining Therapy (TRT) techniques both have growing evidence for reducing how intense trigger reactions feel."
        },
        "high": {
          "name": "High Sound Sensitivity",
          "desc": "Trigger sounds appear to be having a significant effect on your body, your habits, and your closest relationships. This level of reaction is consistent with what researchers describe as misophonia, a distinct, sound-triggered response pattern, not a matter of patience.",
          "recommendation": "A conversation with a therapist or audiologist experienced with misophonia is a reasonable next step. You're not alone in this, and there are structured, evidence-based approaches, CBT adapted for misophonia, sound-based retraining techniques, that can meaningfully reduce how disruptive trigger reactions feel."
        }
      }
    }
  },
  "testNames": {
    "misophonia-screener": "Sound Sensitivity Check-In"
  }
}