iHearBetterNow Home Hearing Care

What is your first name?* This field is required.

Hi {whatIs2}, nice to meet you! What's your last name?* This field is required.

Thanks! Which email address shall we use?* This field is required.

What's the best phone number to call? (Please include your country code)* This field is required.

Are you filling out this form for yourself?* This field is required.

YESNO

What's the name of the actual patient?

First Name

Middle Name

Last Name

Have you experienced any of the following?* This field is required.Please check all that apply...

Muffling of speech and other sounds

Difficulty hearing other people clearly and misunderstanding what they say, especially in noisy places

Asking people to repeat themselves

Difficulty hearing on the phone

Finding it hard to keep up with a conversation

Feeling tired or stressed from having to concentrate while listening

Finding it hard to tell where sound is coming from

Difficulty ignoring background noise or telling different sounds apart

Finding speech unclear

Difficulty hearing in noisy places or over long distances

Ringing in the ears

Listening to music or watching TV with the volume higher than other people need

Hypersensitivity to certain sounds/certain sounds are very bothersome or cause pain

Hearing limits or hampers your personal and social life

Other

Have you consulted already with an ENT Doctor about this problem?* This field is required.

YESNO

Please tell us what was the recommendation given by the ENT Doctor.Write down a short description in 1 or 2 sentences.

Have you experienced recurrent headache during the last 3 months?* This field is required.

YESNO

Do you have fluid coming out of your ear/s during the last 6 months?* This field is required.

YESNO

It is best that you'll be seen by our ENT Doctor first prior to any Hearing Care Service. Are you interested in a Home Service ENT Consultation with Ear Cleaning/Suctioning?

YESNO

Our Hearing Care Home Service fee starts at P5000, are you willing and able to pay this amount?* This field is required.Mode of payment will be Paypal or Credit Card. Fully refundable within 14 days if schedule is not successful.

YESNO

Our Home Service ENT Consultation with Ear Cleaning and Suctioning fee starts at P8000, are you willing and able to pay this amount?* This field is required.Mode of payment will be Paypal or Credit Card. Fully refundable within 14 days if schedule is not successful.

YESNO

iHearBetterNow Hearing Care Home ServiceFill out the form below with your credit card details. Fully refundable within 14 days, if schedule is not successful.

My Bag

iHearBetterNow Hearing Care Home ServiceSo there you have it, with the iHearBetterNow Hearing Care Home Service, you don't have to get out of your home for you to Experience Better Hearing and Keep safe from being exposed to a crowd. Apply today and get 50% discount vouchers for our High-definition Hearing aids.
5,000.00PHPEdit
Back
Quantity