Hearing Test

TAKE A 5-MINUTE HEARING help quick test*

• 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 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
• SOMETIMES

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