1.
Yes No
Do you hear, but have trouble understanding all the words in a conversation?
2.
Do people around you seem to mumble.
3.
Do you often ask people to repeat themselves?
4.
Do you have trouble hearing on the Telephone?
5.
Do you sometimes have trouble hearing sounds around your home like a door bell ringing, a clock ticking or a faucet dripping?
6.
Do your family members complain that you play the T.V. or radio too loud?
7.
Is it hard to make out what people are saying when their face is turned away from you?
8.
Have you ever experienced ringing in your ears?
9.
Do some people say that you speak too loudly?
10.
Do you find it difficult to follow a conversation in a crowd?