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136 • Chapter 5

                              A Five-Minute Hearing Test Especially for Seniors
                              This test is from the American Academy of Otolaryngology—
                              Head and Neck Surgery Public Service Brochure. Answer each
                              of the following questions by placing a checkmark in the
                              column that is most like you. You’ll find a scoring guide af-
                              ter the test.

                                                    Almost       Half        On
                              Question              Always the time Occasion Never
                              I have a problem hearing  _____   _____       _____     _____
                              over the telephone.
                              I have trouble following  _____   _____       _____     _____
                              the conversation when
                              two or more people
                              are talking at the same
                              time.
                              People complain that I  _____     _____       _____     _____
                              turn theTV volume up
                              too high.
                              I have to strain to under-  _____  _____      _____     _____
                              stand conversations.
                              I miss hearing some     _____     _____       _____     _____
                              common sounds like the
                              phone or doorbell
                              ringing.
                              I have trouble hearing  _____     _____       _____     _____
                              conversations in a noisy
                              background such as a
                              party.
                              I get confused about    _____     _____       _____     _____
                              where sounds come from.
                              I misunderstand some    _____     _____       _____     _____
                              words in a sentence and
                              need to ask people to
                              repeat themselves.
                              I especially have trouble  _____  _____       _____     _____
                              understanding the speech
                              of women and children.
                              I have worked in noisy  _____     _____       _____     _____
                              environments (assembly
                              line, jackhammers, jet
                              engines, and so on).
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