Free Hearing Evaluation Quiz (circle the most meaningful answer)
Have you ever thought that your hearing may be bad?
1. Never 2. seldom 3. sometimes 4. often 5. almost always
Do you find it difficult to understand the individual words of a popular song on the radio?
1. Never 2. seldom 3. sometimes 4. often 5. almost always
Is it difficult for you to follow a conversation when many people are in the same room?
1. Never 2. seldom 3. sometimes 4. often 5. almost always
Can you hear the telephone ringing, when it is in another room?
1. Never 2. seldom 3. sometimes 4. often 5. almost always
Can you hear the telephone ringing, when it is in the same room as you are?
1. Never 2. seldom 3. sometimes 4. often 5. almost always
While reading or studying, are you sometimes disturbed by noises coming from another room?
1. Never 2. seldom 3. sometimes 4. often 5. almost always
On the whole, I would describe my hearing ability in my right ear as…
1. Good 2. satisfactory 3. limited 4. poor 5. very poor
On the whole, I would describe my hearing ability in my left ear as…
1. Good 2. satisfactory 3. limited 4. poor 5. very poor
On the whole, I would describe my hearing ability during a group conversation as….
1. Good 2. satisfactory 3. limited 4. poor 5. very poor
On the whole, I would describe my ability to pinpoint where sound is coming from as…
1. Good 2. satisfactory 3. limited 4. poor 5. very poor
Add the corresponding numbers beside the answers you circled for your score.
The higher the score the more need for you to consult an Audiologist. Your Score_______________