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