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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)
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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 316-719-3030
For questions about hearing evaluations, hearing aids, or balance testing, please call 316-634-3518 to speak with an audiologist.

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