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Hearing Self-Check

Doctor's Hearing Center Hearing Self-Check

Step 1 of 16

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You will be asked yes or no questions. If you answer yes to more than two of the following questions, you should have your hearing evaluated further.

Do you have a problem hearing over the telephone?*
- Yes
- No

Do you hear better through one ear than the other when you are on the telephone?*
- Yes
- No

Do you have trouble following the conversation with two or more people talking at the same time?*
- Yes
- No

Do people complain that you turn the TV volume up too high?*
- Yes
- No

Do you have to strain to understand conversation?*
- Yes
- No

Do you have trouble hearing in a noisy background?*
- Yes
- No

Do you have trouble hearing in restaurants?*
- Yes
- No

Do you have dizziness, pain, or ringing in your ears?*
- Yes
- No

Do you find yourself asking people to repeat themselves?*
- Yes
- No

Do family members or coworkers remark about your missing what has been said?*
- Yes
- No

Do many people you talk to seem to mumble (or not speak clearly)?*
- Yes
- No

Do you misunderstand what others are saying and respond inappropriately?*
- Yes
- No

Do you have trouble understanding the speech of women and children?*
- Yes
- No

Do people get annoyed because you misunderstand what they say?*
- Yes
- No

Name*
Email*

Δ

Address

421 US 31W Bypass, Bowling Green, KY 42101

Phone

Hours

Monday – Friday, 8:00 am – 4:30 pm

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