-------------------------------------

 

 

Home Hearing Screening

Questions on Hearing Acuity

1. Do you find it difficult to follow a conversation in a noisy restaurant or crowded room?

Yes No Sometimes

2. Do you sometimes feel that people are mumbling or not speaking clearly?

Yes No Sometimes

3. Do you experience difficulty following dialog in the theater?

Yes No Sometimes

4. Do you sometimes find it difficult to understand a speaker at a public meeting or a religious service?

Yes No Sometimes

5. Do you find yourself asking people to speak up or repeat themselves?

Yes No Sometimes

6. Do you find men’s voices easier to understand than women’s?

Yes No Sometimes

7. Do you experience difficulty understanding soft or whispered speech?

Yes No Sometimes

8. Do you sometimes have difficulty understanding speech on the telephone?

Yes No Sometimes

9. Does a hearing problem cause you to feel embarrassed when meeting new people?

Yes No Sometimes

10. Do you feel handicapped by a hearing problem?

Yes No Sometimes

11. Does a hearing problem cause you to visit friends, relatives or neighbors less often that you would like?

Yes No Sometimes

12. Do you experience ringing or noises in your ears?

Yes No Sometimes

13. Do you hear better with one ear then the other?

Yes No Sometimes

14. Have you had any significant noise exposure during work, recreation or military service?

Yes No Sometimes

15. Have any of your relatives (by birth) ha d a hearing loss?

Yes No Sometimes

Scoring:

2 points for Yes
1 points for Sometimes
0 points for No
Scores of 3 or more: may mean that you have a hearing problem.
Scores of 6 or more: strongly suggest that a hearing check is warranted.

If you think you or your child may have a hearing loss, please call us at (859) 781-4900. You can schedule an appointment directly with one of our professionally trained Audiologists who are trained to evaluate, diagnose, treat, and manage hearing loss.

Click here to Download this Hearing Questionnaire Test PDF

Home Our ENT Services Contact Us