Q1: Do you find it difficult to follow a conversation in a noisy restaurant or crowded room?

Yes    No    Sometimes

 

Q2: Do you sometimes feel that people are mumbling or not speaking clearly?

Yes    No    Sometimes

 

Q3: Do you experience difficulty following dialog in the theater?

Yes    No    Sometimes

 

Q4: Do you sometimes find it difficult to understand a speaker at a public meeting or a religious service?

Yes    No    Sometimes

 

Q5: Do you find yourself asking people to speak up or repeat themselves?

Yes    No    Sometimes

 

Q6: Do you find men’s voices easier to understand than women’s?

Yes    No    Sometimes

 

Q7: Do you experience difficulty understanding soft or whispered speech?

Yes    No    Sometimes

 

Q8: Do you sometimes have difficulty understanding speech on the telephone?

Yes    No    Sometimes

 

Q9: Does a hearing problem cause you to feel embarrassed when meeting new people?

Yes    No    Sometimes

 

Q10: Do you feel handicapped by a hearing problem?

Yes    No    Sometimes

 

Q11: Does a hearing problem cause you to visit friends, relatives or neighbours less often than you would like?

Yes    No    Sometimes

 

Q12: Do you experience ringing or noises in your ears?

Yes    No    Sometimes

 

Q13: Do you hear better with one ear than the other?

Yes    No    Sometimes

 

Q14: Have you had any significant noise exposure during work, recreation or military service?

Yes    No

 

Q15: Have any of your relatives (by birth) had a hearing loss?

Yes    No

 

Your Score:

 

Scoring:

Score 2 points for Yes, 1 point for Sometimes and 0 points for No.

Scores of 3 or more may mean that you have a hearing problem.

Scores of 6 or more strongly suggest that a hearing check is warranted. In either case, ask your doctor to screen your hearing.

Further testing by an audiologist may be recommended.

 

You can book an appointment for a FREE consultation with our Doctor of Audiology now at 905-303-HEAR (4327).

 

Source:
American Academy of Audiology
www.audiology.org