Hearing Loss Questionnaire

Symptoms Of Hearing Loss

In the U.S. alone, an estimated 30 million people have some form of hearing loss. The inability to comprehend speech and other sounds can strike at any time and at any age. It can be temporary or permanent, mild or profound. Hearing is an integral part of the human experience and when it is diminished, it affects all aspects of that experience.

Luckily modern technological advances in Hearing Science have improved the quality of life for many individuals. A hearing test provided by a trained hearing health specialist is the first step in rehabilitating their communication ability and reuniting them with their world.

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Do you have any of the following volume, clarity or pitch issues?
  • You turn the volume on the TV up. Others ask you to turn it down.
  • People’s voices often sound mumbled or muffled.
  • You struggle to hear women and children more than others.
  • You have problems hearing faint noises.
  • You hear ringing or buzzing noises that no one else does.
Have you found yourself in any of these situations?
  • You find yourself saying ‘come again?’ and ‘what?’ more frequently.
  • You let phone calls go to voicemail so you won’t have to struggle through the conversation.
  • You feel nervous about trying to hear and understand people.
  • You smile and nod to pretend you’re following the conversation at a crowded restaurant.
  • You’ve stopped taking part in activities you love because of your hearing loss.
  • Meeting new people has become stressful because you worry you won’t understand what they’re saying.
  • You feel people getting frustrated with you when you ask them to repeat themselves.
Do any of these health or noise exposure issues apply to you?
  • Exposure to a single, explosive noise
  • Exposure to very loud sounds over a long period of time
  • High blood pressure, heart or circulation issues
  • Dementia
  • Diabetes or recent strokes

Let Us Help

If you’ve answered “yes” to any of these conditions, we invite you to have a baseline hearing screening. With a baseline screening, we can track your hearing history as you get older. Take advantage of our complimentary hearing screening and find out for yourself.
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