ALL Fields are required.

5 Minute Hearing Test
     
 
1. I have a problem hearing over the telephone.
2. I have trouble following the conversation when 2 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 door-bell ringing.
6. I have trouble hearing conversations in a noisy background such as a party.
7. I get confused about where sounds come from.
8. I misunderstand some words in a sentence and need to ask people to repeat themselves.
9. I especially have trouble understanding the speech of women and children.
10. I have worked in noisy environments (near assembly lines, jackhammer, jet engines, etc.)
11. Many people I talk to seem to mumble.
12. People get annoyed because I misunderstand what they say.
13. I misunderstand what others are saying and make inappropriate responses.
14. I avoid social activities because I cannot hear well and fear that I'll reply improperly.
15. To be answered by a family member or freind: Do you think this person has a hearing loss?
   

Scoring

To calculate your score, give yourself 3 points for every time you checked the "Almost Always" column, 2 for every "Half the Time", 1 for every "Occasionally", and 0 for every "Never". If you have a blood relative who has a hearing loss, add another 3 points. Then total your points.

The American Academy of Otolaryngology - Head and Neck Surgery recommends the following:

- 0 to 5 - Your hearing is fine. No action is required.

- 6 to 9 - Suggest you see an ear, nose, and throat (ENT) specialist.

- 10 and above - Strongly recommend you see an ear physician.

 
 
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