Instant Hearing Evaluation

Use the brief questionnaire below to see if you may be experiencing some degree of hearing loss. Be sure to evaluate each question carefully and answer honestly to ensure an appropriate evaluation. The questionnaire represents only a portion of the actual evaluation questions HearUSA uses to establish a diagnosis and should not be used to determine a final course of action other than seeking further evaluation by a hearing care professional.

1. Does a hearing problem cause you to feel embarrassed when meeting new people? YesSometimesNo
2. Does a hearing problem cause you difficulty when visiting friends, relatives or neighbors? YesSometimesNo
3. Does a hearing problem cause you to feel frustrated when talking to members of your family? YesSometimesNo
4. Does a hearing problem cause you to have arguments with family members? YesSometimesNo
5. Does a hearing problem cause you difficulty hearing/understanding coworkers, clients or customers? YesSometimesNo
6. Do you feel impaired by hearing problems? YesSometimesNo
7. Does a hearing problem cause you difficulty in the movies or theater? YesSometimesNo
8. Does a hearing problem cause you difficulty when listening to a radio or TV? YesSometimesNo
9. Does a hearing problem cause difficulty when in a restaurant with relatives or friends? YesSometimesNo
10. Do you feel that difficulty with your hearing limits or hampers your personal life? YesSometimesNo