Scoring - Hearing Self-Assessment

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Scoring - Hearing Self-Assessment

Scoring - Hearing Self-Assessment

Unsure if you should come in for a Hearing Evaluation? Answer the simple questions below to find out if a full evaluation could help your hearing today.

15Questions

1
Do you have a problem hearing over the telephone?
Yes
Sometimes
No
2
Do you have trouble following a conversation when two or more people are talking at the same time?
Yes
Sometimes
No
3
Do people often complain that your TV volume is too high?
Yes
Sometimes
No
4
Do you have to strain to hear conversations?
Yes
Sometimes
No
5
Do you have trouble hearing in noisy environments such as restaurants or parties?
Yes
Sometimes
No
6
Do you miss common sounds such as the phone or doorbell?
Yes
Sometimes
No
7
Do you have trouble locating where a sound is coming from?
Yes
Sometimes
No
8
Do you find yourself often asking people to repeat themselves?
Yes
Sometimes
No
9
Does your family or friends often make comments about missing what was said?
Yes
Sometimes
No
10
Do people seem to mumble?
Yes
Sometimes
No
11
Do you often misunderstand what others are saying?
Yes
Sometimes
No
12
Do you have trouble understanding the speech of women and children?
Yes
Sometimes
No
13
Do people get annoyed because you misunderstand what they say?
Yes
Sometimes
No
14
Do you avoid social activities for fear of not hearing conversations?
Yes
Sometimes
No
15
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First Name
Last Name
16
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