Hearing Self Assessment

Now that you've learned some of the facts about hearing loss and Sound Voids™, you can take the first steps toward prevention or treatment. The following questionnaire has been adapted from a self-assessment tool created by the American Academy of Otolaryngology. Please take the time to answer each question as accurately as possible.

Self Assessment

Does speech sound muffled?	Choose Always Often Sometimes Never
Do you have a hard time hearing on the telephone?	Choose Always Often Sometimes Never
Do you have trouble following a conversation when two or more people are talking at the same time?	Choose Always Often Sometimes Never
Do other people complain that you turn up the volume on the television or radio too high?	Choose Always Often Sometimes Never
Is it difficult to understand words, especially against background noise or in a crowd of people?	Choose Always Often Sometimes Never
Do you not hear sounds like the doorbell or phone ringing?	Choose Always Often Sometimes Never
Is it difficult for you to identify where sounds come from?	Choose Always Often Sometimes Never
Do you frequently ask others to speak more slowly, clearly and loudly?	Choose Always Often Sometimes Never
Do you especially have trouble understanding women and children?	Choose Always Often Sometimes Never
Do you avoid engaging in conversation?	Choose Always Often Sometimes Never
Do you avoid certain social settings due to anxiety or fear of embarrassment?	Choose Always Often Sometimes Never
Has a friend or family member suggested that you may have a hearing loss?	Choose Always Often Sometimes Never