1.Do you hear people talk but have difficulty understanding their words?
a) Yes
b) No

2. Do long conversations make you feel tired?
a) Yes
b) No

3. Do you need to ask people to repeat things they say?
a) Yes
b) No

4. Do you hear better with one ear than the other?
Yes
No

5. Do you often misunderstand what others say?
Yes
No

6. Has anyone close to you suggested that you might have a hearing problem?
Yes
No

7. Do you have trouble hearing over the telephone?
Yes
No