Do you often ask "What"?

Yes No

Do you complain that the people around you don't speak clearly or articulate enough?

Yes No

Have friends or family told you that you don’t hear well?

Yes No

Do you have to increase the volume of the television or radio and does it bother others?

Yes No

Have you noticed that you make people repeat what they say on the phone?

Yes No

Do you have trouble hearing birds sing? (All birds, not just crows.)

Yes No

Do you have trouble understanding people who speak quietly?

Yes No

Do you feel tired after a long conversation?

Yes No

Do you have trouble understanding what people around you are saying during receptions?

Yes No

Do you have trouble understanding speech in noisy environments?

Yes No

Do you hear "blinking" or buzzing in your ears?

Yes No