​Hearing Health Quick Test



Check YES or NO or SOMETIMES for each question:



1.  Do you find it difficult to follow a conversation in a noisy restaurant or crowded room?
            ❏ Yes       ❏ No       ❏ Sometimes



2.  Do you sometimes feel that people are mumbling or not speaking clearly?
             ❏ Yes       ❏ No       ❏ Sometimes


3.  Do you experience difficulty following dialog in the theater?
             ❏ Yes       ❏ No       ❏ Sometimes



4.  Do you sometimes find it difficult to understand a speaker at a public meeting or a  religious service?
             ❏ Yes       ❏ No       ❏ Sometimes



5.  Do you find yourself asking people to speak up or repeat themselves?
             ❏ Yes      ❏ No       ❏ Sometimes



6.  Do you find men's voices easier to understand than women's?
             ❏ Yes       ❏ No       ❏ Sometimes



7.  Do you experience difficulty understanding soft or whispered speech?
             ❏ Yes       ❏ No       ❏ Sometimes



8.  Do you sometimes have difficulty understanding speech on the telephone?
            ❏ Yes       ❏ No       ❏ Sometimes



9.  Does a hearing problem cause you to feel embarrassed when meeting new people?
             ❏ Yes       ❏ No       ❏ Sometimes



10.  Do you feel handicapped by a hearing problem?
             ❏ Yes       ❏ No       ❏ Sometimes



11.  Does a hearing problem cause you to visit friends, relatives or neighbors less often than you would like?
             ❏ Yes       ❏ No       ❏ Sometimes



12.  Do you experience ringing or noises in your ears?
            ❏ Yes       ❏ No       ❏ Sometimes



13.  Do you hear better with one ear than the other?
            ❏ Yes       ❏ No       ❏ Sometimes



14.  Have you had any significant noise exposure during work, recreation or military service?

            ❏ Yes      ❏ No      



15.  Have any of your relatives (by birth) had a hearing loss?
             ❏ Yes      ❏ No

SCORING YOUR TEST

 

To score the Hearing Health Quick Test, score 2 points for Yes, 1 point for Sometimes, and 0 points for No.

 

A total score of 3 or more may mean that you have a hearing problem. A score of 6 or more strongly suggest that a hearing check is warranted. In either case, ask your doctor to screen your hearing. Further testing by an audiologist may be recommended.



 Crystal
Hearing Solutions offers FREE hearing screenings. 
CALL US TODAY!!  239-768-3078

Dr. Crystal, clinical audiologist, will be glad to address your questions and concerns.

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Office Hours:

Monday to Thursday

(By Appointment Only)

9:00 a.m. - 4:00 p.m.

Friday & Saturday

Appointments Available

Upon Request



Tel: 239-997-8288

E-mail: info@crystalhearingsolutions.com

 

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