90-Day Hearing Advantage (Beta)
Fill out the application below to be part of our founding group of hearing aid users committed to real clarity, confidence, and connection. It’s guided support, accountability, and measurable progress. Spots are limited.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you currently wear hearing aids?
Please Select
Daily
Inconsistently
No
How long have you been wearing hearing aids
Please Select
Less than 6 months
6 months - 1 year
1-3 years
4-10 years
+10 years
How satisfied are you with your hearing aids?
I hate them
1
2
3
4
Extremely Satisfied
5
1 is I hate them, 5 is Extremely Satisfied
What frustrates you about hearing aids the most?
What would success look like in 90 days?
Are you willing to wear your hearing aids daily for 90 days?
Are you willing to watch short weekly lesson videos (approx 10-20 min) and complete short practical exercises?
Please Select
Yes
No
Not sure
What technology is available to you to participate in this program (select all that apply)
Smartphone (capable of downloading apps and watching videos-not flip phone)
iPad/tablet
Laptop/desktop computer
None of the above
How committed are you to improving your hearing right now
I was forced to do this
1
2
3
4
5
6
7
8
9
Extremely committed!
10
1 is I was forced to do this, 10 is Extremely committed!
I understand this is a 90-day commitment and that my $97 deposit is refundable upon completion of program requirements.
Yes
Sign me up!
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