Hearing Aid Society of Nova Scotia

1.	Yes No	Do you hear, but have trouble understanding all the words in a conversation?
2.	Yes No	Do people around you seem to mumble.
3.	Yes No	Do you often ask people to repeat themselves?
4.	Yes No	Do you have trouble hearing on the Telephone?
5.	Yes No	Do you sometimes have trouble hearing sounds around your home like a door bell ringing, a clock ticking or a faucet dripping?
6.	Yes No	Do your family members complain that you play the T.V. or radio too loud?
7.	Yes No	Is it hard to make out what people are saying when their face is turned away from you?
8.	Yes No	Have you ever experienced ringing in your ears?
9.	Yes No	Do some people say that you speak too loudly?
10.	Yes No	Do you find it difficult to follow a conversation in a crowd?