The EAR-Q includes 2 ear-specific scales. The 10-item Appearance scale measure how the ear(s) look from the patient perspective. Items ask about ear shape and size, as well as how the ears look in photos, from the side and when wearing a hat, etc. The 10-item Adverse Effects scale measures how a patient’s ear feels and other concerns. Items ask about itchiness, pain, bruising and discoloration, etc.