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FREE ONLINE HEARING TEST IN 2 MINUTES
29
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Language
English (US)
Spanish (Latin America)
1
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2
Name
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First Name
Last Name
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3
Phone Number
*
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Area Code
Phone Number
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4
Type a question
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Female
Male
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5
Type a question
*
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19 - 35
36 - 47
48 - 64
65 +
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6
Have you been subjected to loud noise ?
*
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YES
NO
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7
Do you have trouble following a conversation when people are talking at the same time ?
*
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YES
NO
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8
Do you have trouble hearing on the telephone?
YES
NO
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9
Constantly straining to hear and follow conversations?
*
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YES
NO
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10
Do people seem to Mumble?
*
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YES
NO
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11
Do you often ask people to repeat what they said?
*
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YES
NO
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12
For whom do you need help?
*
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Myself
Spouse
Friend
Coworker
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13
Are you wearing a any type of Hearing Devices?
*
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YES
NO
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14
Did your primary Doctor Recommended a Hearing Devices?
*
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YES
NO
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15
What prevented you from getting hearing help sooner?
*
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Hearing Devices are expensive
They are complicated to use
I can hear just fine
I'm not Ready
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16
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17
Play to Listen to the beep then click Next
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18
If you think you heard the beep even if its very faint please enter YES
*
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YES I did hear the beep
NO I didn’t hear the beep
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19
Play to Listen to the beep then click Next
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20
If you think you heard the beep even if its very faint please enter YES
*
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YES I did hear the beep
NO I didn’t hear the beep
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21
Play to Listen to the beep then click Next
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22
If you think you heard the beep even if its very faint please enter YES
*
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YES I did hear the beep
NO I didn’t hear the beep
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23
Play to Listen to the beep then click Next
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24
If you think you heard the beep even if its very faint please enter YES
*
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YES I did hear the beep
NO I didn’t hear the beep
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25
Play to Listen to the beep then click Next
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26
If you think you heard the beep even if its very faint please enter YES
*
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YES I did hear the beep
NO I didn’t hear the beep
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27
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to get your personalized hearing analysis, please enter your email
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28
Give us permission to contact you via phone, text, or email.
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29
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