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Ear Evaluation

Hearing Health Quick Test

To score the Hearing Health Quick Test, score 2 points for Yes, 1 point for Sometimes, and 0 points for No. Scores of 3 or more may mean that you have a hearing problem. Scores of 6 or more strongly suggest that a hearing check is warranted.

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Yes= 2 points     Sometimes= 1 point     No=0 points

1. 
Do you find it difficult to follow a conversation in a noisy restaurant and/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 and/or children's?
Yes
No
Sometimes
 
7. 
Do you experience difficulty understanding soft or whispered speech?
Yes
No
Sometimes
 
8. 
Do you 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 challenged 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 or recreation?
Yes
No
15. 
Have any of your relatives (by birth) had a hearing loss?
Yes
No
 

 

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