Hearing Checklist

A Self-Check For Your Hearing And Ears

Check YES or NO to each item for yourself or for an adult loved one:

Do you experience ringing or noises in your ears?

YES | NO

Do you hear better with one ear than the other?

YES | NO

Have any of your relatives had a hearing loss?

YES | NO

Have you had significant noise exposure at work, recreation or in military service?

YES | NO

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

YES | NO

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

YES | NO

Do you experience difficulty following dialog in theatre?

YES | NO

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

YES | NO

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

YES NO

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

YES | NO

Do you experience difficulty understanding soft or whispered speech?

YES | NO

Do you sometimes have difficulty understanding speech or words on the telephone?

YES | NO

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

YES | NO

Does a hearing problem cause you to be nervous?

YES | NO

Does a hearing problem cause you to visit friends, relatives or neighbors less often then you like?

YES | NO

Does a hearing problem cause you to talk to family members less often then you would like?

YES | NO

Does a hearing problem cause you to feel depressed?

YES | NO

YES answers to any of these questions may mean that you have a hearing problem.

Several YES answers strongly suggest that a hearing check is necessary. Contact your local Hearing Aid Practitioner.