Almost Always	Half the time	Occasionally	Never
1.	I have a problem hearing over the phone.
2.	I have trouble following the conversation when two 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 have trouble hearing conversations in a noisy background such as a party.
6.	I miss hearing some common sounds like the phone or doorbell ring.
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.
11.	Many people mumble when they talk.
12.	People get annoyed because I misunderstand what is being said.
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.
To be answered by a family member
15.	Do you think this person has a hearing loss?	yes    no
16.	Do you have a blood relative with hearing loss?	yes    no

If you answered 'half the time' or 'almost always' to any of these questions, you may benefit from a personal hearing evaluation.  We would love to share the results of your hearing test with you and explain the way it impacts your everyday life.  If hearing aids are recommended, there is never any pressure or obligation to purchase.