Questionaire
Please fill out this brief hearing loss questionaire. If you answer YES to three or more of these Questions you may have either already experienced some level of hearing loss or are at risk to develop hearing loss in the future.
Do you hear ringing or other sounds in your ears?
Do you experience dizziness or lightheadedness?
Do you have relatives that have experienced hearing loss at a young age?
Have you ever had surgery in one or both ears?
Have you ever taken high doses of aspirin?
Have you ever been treated with chemotherapy?
Have you ever been treated for high blood pressure?
Do you hear but not always understand the words?
Do you frequently miss certain words when others are speaking?
Do ask people to repeat?
Do you have difficulty hearing in group situations?
Have others told you that you have a hearing problem?
Does a hearing problem cause you to feel frustrated when talking to a family member?
Does a hearing problem cause you to feel embarassed or irritable when meeting new people?
Does a hearing problem cause you difficulty at the movies/theatres, restaurants or religious services?
Do other tell you the TV/radio is too loud?
Are you a musician?
Do you have any noisy hobbies?
Do you work around high levels of noise?
Are you currently wearing hearing aids?
If we discover that you have hearing loss and we can provide the solution, are you ready to do something about it today?
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