Hearing Assessment

Take our simple hearing assessment to determine if you might benefit from visiting us. Only a hearing professional can help you determine the severity of your hearing loss, whether you could benefit from hearing instruments, and which type would be best for you.

1. Please indicate if you agree or disagree with the following statements

Strongly Disagree = 0 pt. Disagree = 1 pt. Neutral = 2 pt. Agree = 3 pt. Strongly Agree = 4 pt.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
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 understanding things on TV.
I have to strain to understand conversations.
I worry about missing a telephone ring or doorbell.
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.
I especially have trouble understanding the speech of women and children.
I have trouble understanding the speaker in a large room such as at a meeting or place of worship.
Many people I talk to seem to mumble (or don’t speak clearly).
People get annoyed because I misunderstand what they say.
I misunderstand what others are saying and make inappropriate responses.
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.

RESULTS:

0-15 You have Good hearing, Stay with regular check ups and wear ear protection.

16-30 You are starting to experience some hearing loss. Continue with ear protection

31-45 You are having some difficulty and are straining to hear. Make an appointment to have more tests scheduled at GI Hearingaid Center.

46-60 You may be experiencing extensive communication difficulty and would benefit from a hearing solution. Contact us today to get appropriate treatment and prevent further damage.

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