Hearing-Handicap-Inventory

Welcome to our Hearing Handicap Assessment!

This assessment is used to help us understand your hearing needs and how you feel about your hearing in everyday situations.

Answer Yes, No, or Sometimes for each question. Do not skip a question if you avoid a situation because of a hearing problem. If you use a hearing aid, please answer according to the way you hear with your aid.

Question Title

* 1. Please leave us your contact information so we can help you hear better based on your results.

Name *

Email Address *

Phone Number

Question Title

* 2. Do you consider yourself tech-savy?

No, I'm not really comfortable using new technology

I do okay learning new technology, but prefer to have help

Yes, I am very comfortable with new technology

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 3. Does a hearing problem cause
you to feel embarrassed when
meeting new people?

Yes

Sometimes

Question Title

* 4. Does a hearing problem cause you to feel frustrated when talking to members of your family?

Yes

Sometimes

Question Title

* 5. Do you have difficulty hearing when someone speaks in a whisper?

Yes

Sometimes

Question Title

* 6. Do you feel handicapped by a hearing problem?

Yes

Sometimes

Question Title

* 7. Does a hearing problem cause you difficulty when visiting friends, relatives, or
neighbors?

Yes

Sometimes

Question Title

* 8. Does a hearing problem cause you to avoid groups of people?

Yes

Sometimes

Question Title

* 9. Does a hearing problem cause you to have arguments with family members?

Yes

Sometimes

Question Title

* 10. Does a hearing problem cause you difficulty when listening to TV or radio?

Yes

Sometimes

Question Title

* 11. Do you feel that any difficulty with your hearing limits or hampers your peronal or social life?

Yes

Sometimes

Question Title

* 12. Does a hearing problem cause you difficulty when in a restaurant with relatives
or friends?

Yes

Sometimes

Hearing-Handicap-Inventory

Question Title

* 1. Please leave us your contact information so we can help you hear better based on your results.

Question Title

* 2. Do you consider yourself tech-savy?

Question Title

* 3. Does a hearing problem causeyou to feel embarrassed whenmeeting new people?

Question Title

* 4. Does a hearing problem cause you to feel frustrated when talking to members of your family?

Question Title

* 5. Do you have difficulty hearing when someone speaks in a whisper?

Question Title

* 6. Do you feel handicapped by a hearing problem?

Question Title

* 7. Does a hearing problem cause you difficulty when visiting friends, relatives, orneighbors?

Question Title

* 8. Does a hearing problem cause you to avoid groups of people?

Question Title

* 9. Does a hearing problem cause you to have arguments with family members?

Question Title

* 10. Does a hearing problem cause you difficulty when listening to TV or radio?

Question Title

* 11. Do you feel that any difficulty with your hearing limits or hampers your peronal or social life?

Question Title

* 12. Does a hearing problem cause you difficulty when in a restaurant with relativesor friends?

* 3. Does a hearing problem cause
you to feel embarrassed when
meeting new people?

* 7. Does a hearing problem cause you difficulty when visiting friends, relatives, or
neighbors?

* 12. Does a hearing problem cause you difficulty when in a restaurant with relatives
or friends?