Hearing Loss Self Evaluation BY Sontec


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.

Answer YES, SOMETIMES or NO to each question. Do not skip a question even if you avoid a situation because of a hearing problem.

QUESTIONS

YES

SOMETIMES

NO

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

 

 

 

2. Does a hearing problem cause you to feel frustrated when
    talking to members of your family?

 

 

 

3. Does a hearing problem cause you difficulty
    hearing/understanding coworkers, clients or customers?

 

 

 

4. Does a hearing problem cause you difficulty when visiting
    friends, relatives or neighbors?

 

 

 

5. Do you feel handicapped by hearing problems?

 

 

 

6. Does a hearing problem cause you difficulty in the movies
    or theater?

 

 

 

7. Does a hearing problem cause you to have arguments with
    family members?

 

 

 

8. Does a hearing problem cause you difficulty when listening
    to a radio or TV?

 

 

 

9. Do you feel that difficulty with your hearing limits or
    hampers your personal life?

 

 

 

10. Does a hearing problem cause difficulty when in a
     restaurant with relatives or friends?

 

 

 


To compile your score, simply click the calculate button below

 

 

TOTAL POINTS

DIAGNOSIS

0-8 Points

little or no hearing loss

10-24 Points

mild to moderate loss

26-40 Points

significant loss.

 

0-8 points:  Obtain a professional examination to determine your hearing baseline. If you experience occasional difficulty in certain situations, ask your hearing professional about hearing enhancement products.

10-24 points:  A complete hearing examination is recommended. Mild to moderate hearing loss is associated with difficulty understanding speech, particularly in the presence of background noise.

26-40 points: A complete hearing examination is recommended. Significant hearing loss results in increased difficulty hearing and understanding in all situations.


The questionnaire above represents only a portion of the actual evaluation questions we use to establish a diagnosis and should not be used to determine a final course of action except to receive further evaluations by a hearing professional.

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BSHAA
Asociacion Nacional de Audioprotesistas