Hearing Survey First Name *Last Name *Email Address *Phone NumberPlease answer each question below to the best of your ability. When you click submit, we will review the results and contact you to discuss any hearing issues you may be having.Do you have to strain to understand conversations?Almost AlwaysHalf the TimeOccasionallyNeverAre there situations in which you find it difficult to hear clearly?Almost AlwaysHalf the TimeOccasionallyNeverDo you have a problem hearing over the telephone?Almost AlwaysHalf the TimeOccasionallyNeverDo you have trouble following a conversation when two or more people are talking at the same time? Almost AlwaysHalf the TimeOccasionallyNeverDo you have trouble hearing conversations in a noisy background such as a restaurant or a group gathering?Almost AlwaysHalf the TimeOccasionallyNeverDo you have dizziness, pain, or ringing in your ears?Almost AlwaysHalf the TimeOccasionallyNeverDo family members or coworkers remark about your missing what has been said?Almost AlwaysHalf the TimeOccasionallyNeverDo people complain that you turn the TV volume up too high?Almost AlwaysHalf the TimeOccasionallyNeverDo you find it hard to hear someone when they talk in a soft voice or whisper?Almost AlwaysHalf the TimeOccasionallyNeverDo you find understanding women and children particularly challenging?Almost AlwaysHalf the TimeOccasionallyNeverSubmit Schedule An Appointment With a variety of hearing technology available, we’ll find the right fit for your lifestyle! Schedule An Appointment Take Our Hearing Survey Take your hearing health seriously! Complete our survey to access your hearing health needs today! Hearing Survey Recent News What Causes Hearing Loss in One Ear? Ear Protection for Shooting Hearing Aid Fitting Procedure Symptoms of Hearing Loss Hearing Conservation
