Do you have difficulty hearing

when background noise is present?

Do you misunderstand what people are saying?

Do you have difficulty hearing and/or

understanding children?

Do you have ringing in your ears?

Do you have difficulty understanding

speech in a group of people?

Do you often ask that statements,

questions or directions be repeated?

Do you hear people speaking, but have

difficulty understanding the words?

Must others raise their voices or move

closer to help you hear them?

Do you turn the television up louder

than normal to hear clearly?

Do you have to concentrate so much to

listen that you tire from it?

Do you ever avoid a situation because

you may not be able to hear well?

Do you have difficulty understanding

conversations in the car?

Do you have difficulty understanding

conversations on the telephone?