The 5 Minute Hearing Survey
Please consider your answers to the following questions about your lifestyle. The answers will assist us help you with your hearing problems and assure we are on track with our suggestions.
We ask that you take this hearing survey so that when you come in for our free hearing test you have given thought to the situations where you struggle with hearing loss. Rest assured, your hearing can improve dramatically with new affordable, hearing aid technologies. Your quality of life will improve and so will your loved ones.
Questions: Answers: Almost Always Half the time Occasionally Never
1. I frequently ask people to repeat themselves.
2. People complain that I have the TV volume too high.
3. I have problems hearing when I use the phone.
4. I sometimes strain to understand conversations.
5. I have trouble hearing conversations in noisy backgrounds such as a parties.
6. I miss hearing common sounds like the phone or doorbells ringing.
7. I get confused about where sounds originate.
8. I have trouble following the conversation when two or more people talk at the same time. 9. I especially have trouble understanding the speech of women and children.
10. I work and have worked in noisy environments.
11. Many people mumble when they talk.
12. People get annoyed because I misunderstand what is being said.
13. I misunderstand what others are saying and make inappropriate responses.
14. I avoid social activities because I cannot hear well and fear that I’ll reply improperly.
To be answered by a family member.
15. Do you think this person has a hearing loss? Yes or No
16. Do you have a blood relative with hearing loss? Yes or No
If your answers generally fall into the “Almost Always” and “Half the time” we suspect you need help. We understand the challenges you face and assist people every day with their hearing needs. So please, give us a call. (720) 335-5134
We’ll gladly set up an appointment for a free hearing test at your convenience.
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