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Hearing Test #1


  Please check Yes or Sometimes. Some-
times   		 Yes
       
  1. Does it seem like people mumble more than they used to?    
  2. Do you have difficulty when someone speaks in a whisper?    
  3. After a long conversation, do you feel tired or irritable?    
  4. Do you find yourself frequently asking people to repeat themselves?    
  5. Is following a conversation in crowded restaurant or group situations difficult?    
  6. Do you find you miss part of the conversation when there's a lot of  background noise?    
7. Is carrying on a telephone conversation difficult?    
8. Do you ever have difficulty hearing the door bell or telephone ring?    
9. Do you need to turn up the volume on your TV or radio to enjoy the  programs?    
  10. Do you sense your hearing ability limits your personal or social life?    
  11. Does your family ever mention that you have difficulty hearing?    
       
  Your
Name:		  
  E-Mail:    
       
   

 

 
       

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