How
Well Do You Hear? |
Research conducted at Columbia University has shown the following
questionnaire to be a valid means of confirming the presence
of hearing loss in adults. Please select the response that
best describes your experience.
- A
"Yes" answer is worth 4 points.
- A
"Sometimes" answer is worth 2 points.
- A
"No" answer is worth 0 points.
At
the completion of the test, add up your score to determine
the probability that you may have a hearing loss. |
| 1.
|
Does
a hearing problem cause you to feel embarrassed when you meet
new people? |
|
| 2.
|
Does
a hearing problem cause you to feel frustrated when talking
to coworkers, clients or a member of your family? |
|
| 3.
|
Do
you have difficulty hearing people when someone speaks in a
whisper, or have difficulty at the movies or in a theater? |
|
| 4. |
Do
you feel handicapped by a hearing problem? |
|
| 5. |
Does
a hearing problem cause you difficulty when visiting friends,
relatives or neighbors? |
|
| 6. |
Does
a hearing problem cause you to attend religious services less
often than you like? Or, does a hearing problem cause you difficulty
hearing or understanding coworkers, clients or customers? |
|
| 7. |
Does
a hearing problem cause you to have arguments with family members? |
|
| 8. |
Does
a hearing problem cause you difficulty when listening to radio
or television? |
|
| 9. |
Do
you feel that any difficulty with your hearing limits or hampers
your personal or social life? |
|
| 10. |
Does
a hearing problem cause you difficulty when in a restaurant
with family or friends? |
|
| |
| Total
up the number of points above. Your total score = |
| |
| If
your score is: |
The
probability of having a hearing impairment sufficient
to warrant further evaluation is: |
|
| 0
– 8 |
13% |
| 9
– 23 |
48% |
| 24
or greater |
83%
|
|
| |
| Please
contact us if you have any questions
or concerns. |
