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Hearing Assessment
1
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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2
Constantly straining to hear and follow conversations?
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3
Do people seem to Mumble?
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4
Do you occasionally feel self-conscious when meeting new people due to difficulties in hearing?
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5
Do you often ask people to repeat what they said?
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6
Are you experiencing difficulty hearing the TV even when it's turned up loud enough for others?
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7
Name
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First Name
Last Name
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8
Phone Number
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Area Code
Phone Number
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9
Give us permission to contact you via phone, text, or email.
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10
to get your personalized hearing analysis, please enter your email
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example@example.com
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