Medical Providers Thoughts On This Emergency Hearing Health Clinic

Your Progress: 1 of 10

Are there some situations in which you have difficulty to hear clearly?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 2 of 10

Do you strain to understand conversations in normal settings?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 3 of 10

Do you have difficulty hearing people speak over the telephone?

Almost Always Half the TIme Occasionally Almost Never

Your Progress: 4 of 10

Do you have problems following a conversation when two or more people are talking at the same time?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 5 of 10

Do you have difficulty understanding people in noisy places?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 6 of 10

Do you experience dizziness, pain, or ringing in your ears?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 7 of 10

Do family members, friends or coworkers often tell you you’re missing what has been said?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 8 of 10

Does anyone ever mention that you keep the television or radio volume too loud?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 9 of 10

Do you feel that people often mumble?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 10 of 10

Do you find females or children are more difficult to understand?

Almost Always Half the Time Occasionally Almost Never

Your Progress: 100% Complete!

Tell us a little information about you

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First Name

Last Name

Email Address

Phone Number

Your Percentage Of Hearing Loss

Percentage of Hearing Loss