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Do You Have Hearing Loss? Check Your Hearing
Please answer all of the following questions.

		Almost Always	Half the Time	Occasionally	Never
1.	I have problems 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 hearing the TV at normal levels.
4.	I have to strain to understand conversations.
5.	I have to worry about missing a telephone 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.
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 at a meeting or place of worship.
11.	Many people I talk to seem to mumble (or do not 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 that I'll reply improperly.
15.	Family and friends have complained about my hearing.
Calculate your score. Let's see how you're doing.

David Barclay
NJ Hearing Aid Dispenser #859
700 Godwin Ave. Suite 300, Midland Park, New Jersey 07432
Phone 201-444-8500 • Fax 201-444-8509 • NewLifeHearingService@gmail.com