Please answer the questions to the best of your ability. After you choose your answers, the next question will appear. At the end of the assessment, you will be provided with a score and you may send this score to us so we may discuss any hearing issues you are having.
Are there situations in which you find it difficult to hear clearly?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
2.
Do you have to strain to understand conversations?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
3.
Do you have a problem understanding over the phone?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
4.
Do you have trouble following a conversation when two or more people are talking at the same time?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
5.
Do you have trouble hearing conversations in a noisy background such as a restaurant or group gathering?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
6.
Do you have ringing in your ears?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
7.
Do family members or co-workers remark about you missing what has been said?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
8.
Do people complain that you turn the volume up too high on the television?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
9.
Do you find it hard to hear someone when they talk in a soft voice or whisper?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
10.
Do you find understanding women and children particularly challenging?
A.
Almost Always
B.
Half the Time
C.
Occasionally
D.
Never
Quiz Outcomes
1.
No Hearing Impairment
You are not currently experiencing common signs of hearing loss. However, if you suspect you have a hearing loss, or are experiencing other symptoms not listed here, please contact our office for a consultation.
2.
Mild Hearing Impairment
It appears you may be experiencing signs of hearing loss. A hearing test can help detect early signs. We recommend contacting our office to schedule a hearing test.
3.
Moderate Hearing Impairment
It appears you may be experiencing signs of hearing loss. A hearing test can help detect early signs. We recommend contacting our office to schedule a hearing test.
4.
Severe Hearing Impairment
It appears you may be experiencing signs of hearing loss. A hearing test can help detect early signs. We recommend contacting our office to schedule a hearing test.
