5-minute Hearing Test

Do you wonder whether you have a hearing loss or not?

Please mark the column that best describes the frequency with which you experience each situation or feeling listed below.

1. I have a problem hearing over the telephone *
2. I have trouble following the conversation when two or more people are talking at the same time. *
3. I have trouble understanding things on TV *
4. I have to strain to understand conversations. *
5. I have to worry about missing a telephone ring or doorbell. *
6. I have trouble hearing conversations in a noisy background such as a crowded room or restaurant. *
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 trouble understanding the speaker in a large room such as a meeting or a church. *
11. Many people I talk to seem to mumble or don't speak clearly. *
12. People get annoyed because I misunderstand what they say. *
13. I misunderstand what others are saying and make inappropriate responses. *
14. I avoid social activities because I cannot hear well and fear I will reply improperly. *
15. Family members and friends have told me they think I may have a hearing loss. *

To calculate your score, give yourself 3 points for every time you checked “Almost always”; 2 points for every time you checked “Half the time”; 1 point for every time you checked “Occasionally”; and 0 for every time you checked “Never.” If you have a blood relative with a hearing loss, add another 3 points. Total your score.

0 – 5 points: Your hearing is fine. No action is required.
6 – 9 points: Suggest you see a hearing health care professional.
10 + points: Strongly recommend you see a hearing health care professional.

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PHONE: (602) 802-8240
FAX: (602) 802-8245

MON – FRI …………… 7:30 AM – 4:30 PM