Hearing Loss Questionnaire:
Please complete the following questionnaire regarding hearing loss. If you answer yes to any of the following questions, call today and schedule an evaluation with an audiologist at Cornerstone Audiology. 1. Does your hearing loss affect your relationship with your spouse, children, and/or family? 2. Do you often pretend that you hear when you really do not? 3. Does your hearing loss cause your family members to become frustrated when talking to you? 4. Do you have difficulty understanding the television? 5. Do you have difficulty understanding women’s and children’s voices? 6. Do you have trouble understanding conversation when you are in a noisy situation (i.e., restaurant)? 7. Does your hearing loss limit your personal and/or social life? 8. Do you have difficulty understanding people who have accents? 9. Would you accept help if you have a hearing loss?
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