Almost Always Half the time Occasionally Never
1. I have a problem hearing over the telephone.
2. I have trouble following the conversation when two or more people are talking at the same time.
3. People complain that I turn the TV volume too high.
4. I have to strain to understand conversations.
5. I don't hear some common sounds like the phone or doorbell ringing.
6. I have trouble hearing conversations in a noisy environment such as a party.
7. I get confused about where sounds come from.
8. I misunderstand some words in a sentence and need to ask people to repeat themselves.
9. I especially have trouble understanding the speech of women and children.
10. I have worked in noisy environments (assembly lines, jackhammers, jet engines, etc.).
11. Many people I talk to seem to mumble (or don't speak clearly).
12. People get annoyed because I misunderstand what they say.
13. I misunderstand what others are saying and make inappropriate responses.
14. I avoid social activities because I cannot hear well and fear I'll reply inappropriately.
To be answered by a family member
    YES NO    
15. Do you think this person has a hearing loss?    
16. Do you have a blood relative with hearing loss?    

Please complete the form to obtain more information about your score.

Your hearing is fine. No action is required. However, it is important to protect your hearing against loud noises, music, machinery, etc.

Also, if any of the following conditions exist, you should be seen by one of our audiologists.

  1. Visible congenital or traumatic deformity of the ear.
  2. History of active drainage from the ear within the
    previous 90 days.
  3. History or sudden or rapidly progressive hearing
    loss within the previous 90 days.
  4. Acute or chronic dizziness.
  5. Unilateral (one ear) hearing loss of sudden or
    recent onset within the previous 90 days.
  6. Visible evidence of significant cerumen (earwax)
    accumulation or a foreign body in the ear canal.
  7. Pain or discomfort in the ear.

These recommendations are supported by the American Academy of Otolaryngology — Head and Neck Surgery, Inc. and American Academy of Audiologists

Your score suggests that you may have a problem with your hearing. We recommend you schedule an appointment with one of our audiologists for a complete evaluation of your hearing.

Please call 800-516-5123 for your appointment.

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