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
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 289-963-1512.
American Academy of Audiology