The questions below are designed to evaluate your ability to hear in different circumstanses.
This evaluation is informational and is not to be used as a certified hearing test.
Please answer each statement below by marking either
"Yes"
or
"No"
Do you have problem understanding people even though you have heard them?*
Yes   
No
Do you often ask people to repeat what they have said?*
Yes   
No
Do you usually not understand what a person say without seeing his/her face?*
Yes   
No
Have you noticed that the people mumble move often than they used to?*
Yes   
No
Do you have difficulty in distinguishing speech from other sounds and noise?*
Yes   
No
Are you not able to differentiate between different types of noise?*
Yes   
No
Can you only hear loud noises?*
Yes   
No
Do you have difficulty following conversations in a noisy place like a restaurant?*
Yes   
No
Do your family members complain that you Play the radio are television too loudly?*
Yes   
No
Check