Hearing Self-Test Questionnaire
Questions to ask yourself if you suspect hearing loss...
- Do you have to strain to listen?
- Do you feel frustration when you are conversing?
- Do you have to ask people to repeat themselves?
- Do you have difficulty when someone speaks in a whisper?
- Do you misunderstand people and respond inappropriately?
- Do you find yourself withdrawing from social activities because it is difficult to hear?
- Do you have arguments with your family members because of your hearing?
- Do you have difficulty talking on the telephone or hearing the TV or radio?
- Do you have trouble hearing in a restaurant?
- Do you have dizziness, pain, or ringing in your ears?
(Modified from the Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S), Ventry & Weinstein, 1983, and the ASHA Self-Test Questionnaire)
Why seek treatment for hearing loss?
Benefits people report after seeking treatment for hearing loss...
- Better relationships with their families
- Better feelings about themselves
- Improved mental health
- Greater independence and security
Some people who DON'T seek treatment for hearing loss reported...
- Sadness and depression
- Worry and anxiety
- Decreased social activity
--The National Council on Aging. (1999). The consequences of untreated hearing loss in older persons. Washington, DC. www.ncoa.org
(from Boys Town National Research Hospital)
To schedule an appointment for a hearing or balance assessment, talk with your primary care physician.
All that is needed is a written order from your physician for our services.
To make an appointment, please call the One Call Scheduling Center at
For questions about hearing evaluations, hearing aids, or balance testing, please call 316-634-3518 to speak with an audiologist.