1. I have a problem hearing over the telephone.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
2. I find it difficult hearing at religious services, meetings or gatherings.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
3. People complain I turn the TV volume up too loud.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
4. I have trouble following conversations when two or more people are talking at the same time.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
5. I miss hearing common sounds like the telephone or doorbell ringing.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
6. I have trouble hearing conversation in a noisy background, like at a party.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
7. I get confused where sounds are coming from.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
8. I misunderstand some words in a sentence and need to ask people to repeat themselves.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
9. I especially have trouble understanding the speech of women and children.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
10. I have worked in noisy environments.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
11. People get annoyed because I cannot understand what they say.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)
12. I avoid social activities because I cannot hear well and fear I will reply improperly.
(Almost Always)
(50% of the time)
(Occasionally)
(Never)