Hearing Self Test Questionnaire

• Are you sometimes unsure of what others around you have said?

• Do you wish that people around you would speak louder and more distinctly?

• Are you often asking family members and friends to repeat themselves?

• Do you have trouble hearing over the telephone?

• Do you have trouble following conversations in the presence of background noise?

If you answered YES to any of the above questions, please call to schedule an appointment for a hearing evaluation. At that time, you and your audiologist will decide on the appropriate course of action for your particular condition, be it medical treatment and/or consideration of hearing instruments.