Hearing Questionnaire
Early identification and management of hearing loss can help limit the negative impact on a person's life and allow for more effective and timely treatments. It is important to consult your doctor if you suspect that your hearing might be impaired.
This screening questionnaire and Amplifon's
online hearing test can help you determine if you need to get your hearing evaluated.
1
of 16
I have had complaints that I listen to TV/Radio at a very loud volume.
* Kindly Choose An Answer
2
of 16
It is difficult to follow a conversation with two or more people talking at the same time.
* Kindly Choose An Answer
3
of 16
I have problems hearing over the telephone.
* Kindly Choose An Answer
4
of 16
Understanding conversations is challenging and straining.
* Kindly Choose An Answer
5
of 16
I have difficulties hearing conversations in a noisy background.
* Kindly Choose An Answer
6
of 16
I miss the phone ringing, doorbell, or similar noises.
* Kindly Choose An Answer
7
of 16
It is hard for me to locate the source/direction of a sound.
* Kindly Choose An Answer
8
of 16
I need to ask people to repeat what they said, because I misunderstand some words in their sentences
* Kindly Choose An Answer
9
of 16
I have trouble hearing women, children, and high pitched noises.
* Kindly Choose An Answer
10
of 16
A lot of people I talk to seem to not talk clearly and mumble.
* Kindly Choose An Answer
11
of 16
I have history working in noisy environments (such as construction sites).
* Kindly Choose An Answer
12
of 16
I misunderstand what others are saying, which makes them upset.
* Kindly Choose An Answer
13
of 16
I misunderstand what others are saying, so sometimes I make inappropriate responses.
* Kindly Choose An Answer
14
of 16
I avoid social activities because I cannot hear well.
* Kindly Choose An Answer
15
of 16
Does your friends/family believe you have hearing loss?
* Kindly Choose An Answer
16
of 16
Does hearing loss run in your family?
* Kindly Choose An Answer