Hearing Self-Test

Almost Always

Half the time

Occasionally

Never

I have a problem hearing over the phone.

I have trouble following the conversation when two or more people are talking at the same time.

People complain that I turn the TV volume too high.

I have to strain to understand conversations.

I have trouble hearing conversations in a noisy background such as a party.

I miss hearing some common sounds like the phone or doorbell ring.

I get confused about where sounds come from.

I misunderstand some words in a sentence and need to ask people to repeat them.

I especially have trouble understanding the speech of women and children.

I have worked in noisy environments.

Many people mumble when they talk.

People get annoyed because I misunderstand what is being said.

I misunderstand what others are saying and make inappropriate responses.

I avoid social activities because I cannot hear well and fear that I’ll reply improperly.

To be answered by a family member :

Do you think this person has a hearing loss?

Do you have a blood relative with hearing loss?

yes

no

Your Score

What does this mean?
Score	Analysis
0-5	You’re hearing is good
6-9	Suggest a hearing evaluation
10 and above	Strongly recommend a hearing evaluation