The S-Five-T is the trigger checklist that accompanies the S-Five misophonia assessment. It records which sounds have affected you during the past few weeks, the main feeling each sound caused, and how intense your reaction was.
This checklist does not produce a diagnostic cut-off. It creates a practical profile of the breadth, intensity, and emotional pattern of your current triggers. It may help you identify accommodations, explain your experience, or prepare for a conversation with a clinician.
Take the separate 25-item S-Five severity assessment
Learn more about misophonia: The University of Sussex Misophonia Hub provides research-based information for people with misophonia, families, clinicians, and researchers, including guidance on related sound sensitivities and seeking professional help.
How to Answer
Think about the past few weeks. For every sound, choose the main feeling it caused and rate the intensity from 0 (Doesn't bother me at all) to 10 (Unbearable/causes suffering).
If a sound has not bothered you, select No feeling and intensity 0.
S-Five-T Misophonia Trigger Profile
Your Trigger Profile
Trigger Count
Sounds rated above 0.
Combined Intensity
The sum of all intensity ratings.
Average Trigger Intensity
Combined intensity divided by trigger count.
Main Reactions
These counts show how often you selected each main reaction across all 37 sounds.
Your Active Triggers
Understanding These Scores
Trigger Count describes breadth, Combined Intensity reflects both breadth and intensity, and Average Trigger Intensity estimates how strong the reaction is across sounds that affect you. The authors do not publish a clinical threshold for these indices.
The list is customizable and cannot include every possible trigger. A low Trigger Count does not mean that one severe trigger is unimportant.
Further Information and Support
If your reactions are intense or interfere with everyday life, the University of Sussex Misophonia Hub provides research-based information about misophonia, related sound sensitivities, management, treatment research, and seeking professional help.
Source and Permission
The S-Five-T was developed as the companion trigger checklist for the S-Five by Silia Vitoratou, Nora Uglik-Marucha, Chloe Hayes and Jane Gregory.
Vitoratou S, Hayes C, Uglik-Marucha N, Pearson O, Graham T, Gregory J. Misophonia in the UK: Prevalence and norms from the S-Five in a UK representative sample. PLOS ONE. 2023;18(3):e0282777. See Supporting Information S3 Table for the official trigger checklist and scoring.
The S-Five is copyright King's College London, 2021. This non-commercial implementation reproduces the official 37-trigger checklist and scoring with acknowledgement.