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.
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).
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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.
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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 |
| I
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 |
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| Add
up your total score and look at the results chart to the right. |
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