Almost Always Half the Time Occasionally Never
I have a problem hearing over the phone.
I have trouble following the conversation when two or more people are talking at the same time.
People complain that I turn the TV volume too high.
I have to strain to understand conversations.
I have trouble hearing conversations in a noisy background such as a party.
I miss hearing some common sounds like the phone or doorbell ring.
I get confused about where sounds come from.
I misunderstand some words in a sentence and need to ask people to repeat them.
I especially have trouble understanding the speech of women and children.
I have worked in noisy environments.
Many people mumble when they talk.
People get annoyed because I misunderstand what is being said.
I misunderstand what others are saying and make inappropriate responses.
I avoid social activities because I cannot hear well and fear that I'll reply improperly.
 
To be answered by a family member:
 
Do you think this person has a hearing loss?
Do you have a blood relative with hearing loss?
Yes
No
   
 
Your Score
 
What does this mean?
Score Analysis
0-5 Your hearing is good
6-9 Suggest a hearing evaluation
10 and above Strongly recommend a hearing evaluation
 
If you scored above 6, we suggest that you receive a hearing evaluation. If you'd like to receive more information or to schedule an appointment, please contact us.