Clinic method
Draw the signal before prescribing the fix.
The Ciomu method starts with a room walk, not a shopping list. A note records the source, path, surface, timing, and aftertone of a sound scene. This keeps advice grounded in a reader's actual routines. It also prevents the common mistake of treating every discomfort as a volume problem when the real issue may be frequency, repetition, reflection, contrast, or social timing.

Source
What is making the sound, how often does it repeat, and who controls it?
Path
Where does the signal travel before a person notices it?
Surface
Which materials sharpen, soften, trap, or redirect the sound?
Timing
When does the same sound become useful, harmless, or exhausting?
Change
What reversible move can be tested before anything permanent happens?
Aftertone
What does the room feel like ten minutes after the change?
What a good note refuses
A good Ciomu note refuses generic quiet. It does not erase a family's dinner rhythm, a studio's useful alert sounds, or a shared space's signs of life. It refuses expensive certainty when a placement trial can teach more. It refuses to call a room finished until someone has lived with the change long enough to hear whether attention has actually eased.