If you answer ‘Almost Always’ or ‘Half the Time’ to more than 2 of the questions
you should consider a full hearing evaluation.
Almost always
Half the time
Occasionally
Never
1. I have a problem hearing over the telephone.
2. I have trouble following the conversation when two or more people are talking at the same time.
3. People complain that I turn the TV volume too high.
4. I have to strain to understand conversations.
5. I miss hearing some common sounds like the phone or doorbell ring.
6. I have trouble hearing conversations in a noisy background, such as a party.
7. I have difficulty pinpointing where sounds come from.
8. I misunderstand some words in a sentence and have to ask people to repeat.
9. I have more trouble understanding women and children.
10. I have been exposed to noisy environments (military, noisy workplace, loud concerts).
11. Many people seem to mumble, or not speak clearly.
12. People get annoyed because I misunderstand or ask for repetition.
13. I misunderstand what others are saying and/or make inappropriate responses.
14. I avoid social activities because I cannot hear well and fear I'll make improper replies.
15. Ask a family member or friend to answer this question: Do you think I have a hearing loss?
Yes
No
16. I have experienced sudden loss of hearing, or have ear drainage; or if you perceive that one ear hears better than the other. If this is recent event, contact a physician or ear doctor immediately.
