This
short test is a means of quickly assessing if you might have hearing
loss requiring referral for an objective hearing test and possible
hearing solution. Visit achievehearing.com or call 972.608.0416 schedule appointments.
Instructions : Read the questions below and rank
your responses from 1 – 4.
Ranking : 1 being strongly disagree and 4 being
strongly agree (one answer per question).
Questions | 1 | 2 | 3 | 4 |
---|---|---|---|---|
I have a problem hearing over the telephone | ||||
I have trouble following the conversation when two or more people are talking at the same time | ||||
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 | ||||
Many people I talk to seem to mumble (or do not speak clearly) | ||||
I have trouble understanding the speaker in a large room such as at a meeting or place of worship | ||||
I avoid social activities because I cannot hear well and fear I will reply improperly | ||||
Family members and friends have told me they think I may have a hearing loss | ||||
I have to worry about missing a telephone ring or doorbell |
Score of 1-10
Slight hearing deficit - you might want
to get your hearing checked by a professional Audiologist.
Score
of 11-20
Moderate hearing loss - it would be beneficial
to get your hearing diagnosed and discuss solutions with
a professional Audiology.
Score of 21-30
Extreme hearing loss - your hearing loss
affects most of your daily activities. You should seek
diagnosis and solutions.
Score of 31-40
Severe hearing loss - you are missing
out on a lot in your life and it is highly suggested you
seek a diagnosis and solution from a professional Audiologist.