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Hearing Questionnaire
The following questions are designed to rate your hearing ability and detect possible symptoms of hearing loss. Click on the answer that best applies to your situation.
 
  Most of the Time Sometimes Never
1. People have to speak slowly for me to understand them.
2. I ask people to speak up.
3. I ask people to repeat what they've said.
4. I have particular difficulty understanding children when they speak.
5. I have trouble using the telephone. I miss parts of words and sentences in phone conversations.
6. Family members complain that I turn the radio or television up too loud.
7. Going to the movies is a bother because the dialogue is unclear.
  Most of the Time Sometimes Never
8. I've become less and less outgoing and feel awkward socially.
9. People accuse me of not paying attention or being antisocial at get-togethers.
10. I find myself avoiding social gatherings because it's hard to understand people in large groups.
11. At meetings or get-togethers, I'm reluctant to participate because I've missed part of the discussion.
12. I hear people talking, but have trouble understanding what they're saying.
13. Listening to conversations takes a lot of concentration.
    Most of the Time Sometimes Never
14. I think people are leaving me out of conversations or are talking about me.
15. I feel frustrated and lose patience with loved ones because they're treating me differently.
16. Family members make decisions without me because I have a hard time following discussions.
17. I'm spending more and more time alone because it's just too hard to communicate.
18. I miss telephone calls or visitors because I don't hear the telephone or doorbell ringing.
19. In the car, I have difficulty understanding conversations.
20. I think I may have a hearing loss, but I'm having trouble admitting it.