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5 Minute Hearing Test

Please select the answer that best describes how you experience each situation.
I have trouble hearing on the telephone:




I have trouble following the conversation when two or more people are talking at the same time:




I have trouble understanding things on TV:




I have to strain to understand conversations:




I have to worry about missing a telephone ring or doorbell:




I have trouble hearing conversations in a noisy background such as a crowded room or restaurant:




I get confused about where sounds come from:




I misunderstand some words in a sentence and need to ask people to repeat themselves:




I especially have trouble undersrtanding the speech of women and children:




I have trouble understaning the speaker in a large room such as a meeting or church:




Many people I talk to seem to mumble or don't speak clearly:




People get annoyed because I misunderstand what they say:




I misunderstand what others are saying and make inappropriate responses:




I avoid social activities because I cannot hear well and fear I will reply improperly:




Family members and friends tell me they think I may have a hearing loss:




Have you worked in a noisey enviroment?


Do you wear a hearing aid?


Have you had your hearing tested in the last 5 years?


Do you have a blood relative with a hearling loss?