Hearing Test
Please answer the questions below to the best of your ability.
Email address *
Do you sometimes have difficulty understanding speech on the telephone or TV?
Do you sometimes feel people are mumbling or not speaking clearly?
Do you find it difficult to follow a conversation in a noisy restaurant or crowded room?
Do you have to strain to understand conversations?
Do you have a problem hearing over the telephone? *
Never
Almost always
Do you have trouble following a conversation when two or more people are talking at the same time?
Never
Almost Always
Do you have dizziness, pain, or ringing in your ears?
Never
Almost always
Do family members or coworkers remark about you missing what has been said?
Never
Almost always
Do you find it hard to hear someone when they talk in a soft voice or whisper?
Never
Almost Always
Do you find understanding women and children particularly challenging?
Never
Almost always
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