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iHearBetterNow Hearing Care Home Service
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What is your first name?
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Hi {whatIs2}, nice to meet you! What's your last name?
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Thanks! Which email address shall we use?
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What's the best phone number to call? (Please include your country code)
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Are you filling out this form for yourself?
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6
What's the name of the actual patient?
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Middle Name
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7
Have you experienced any of the following?
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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
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8
Have you consulted already with an ENT Doctor about this problem?
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9
Please tell us what was the recommendation given by the ENT Doctor.
Write down a short description in 1 or 2 sentences.
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10
Have you experienced recurrent headache during the last 3 months?
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11
Do you have fluid coming out of your ear/s during the last 6 months?
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12
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?
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13
Our Hearing Care Home Service fee starts at P5000, are you willing and able to pay this amount?
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Mode of payment will be Paypal or Credit Card. Fully refundable within 14 days if schedule is not successful.
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14
Our Home Service ENT Consultation with Ear Cleaning and Suctioning fee starts at P8000, are you willing and able to pay this amount?
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Mode of payment will be Paypal or Credit Card. Fully refundable within 14 days if schedule is not successful.
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15
iHearBetterNow Hearing Care Home Service
Fill out the form below with your credit card details. Fully refundable within 14 days, if schedule is not successful.
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iHearBetterNow Hearing Care Home Service
So 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.
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Albania
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American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lesotho
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
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