​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. 

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CALL US TODAY!!  239-768-3078

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