5 Minute Hearing Test |
Almost Always |
Half the Time |
Occasion -ally |
Never |
| 1. I have a problem hearing over the telephone. |
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| 2. I have trouble following the conversation when two or more
people are talking at the same time. |
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| 3. People complain that I turn the TV volume too high. |
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| 4. I have to strain to understand conversations. |
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| 5. I miss hearing some common sounds like the phone or doorbell
ringing. |
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| 6. I have trouble hearing conversations in a noisy background
such as a party. |
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| 7. I get confused about where sounds come from. |
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| 8. I misunderstand some words in a sentence and need to ask
people to repeat themselves. |
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| 9. I especially have trouble understanding the speech of women
and children. |
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| 10. I have worked in noisy environments (assembly lines,
jackhammers, jet engines, etc.). |
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| 11. Many people I talk to seem to mumble (or don't speak
clearly). |
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| 12. People get annoyed because I misunderstand what they
say. |
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| 13. I misunderstand what others are saying and make
inappropriate responses. |
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| 14. I avoid social activities because I cannot hear well and
fear I'll replay improperly. |
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| To be answered by a family member or friend:
15. Do you think this person has a hearing loss? |
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