This quiz was field-tested on 71 older patients in five cities; audiograms were also run on them. Results showed that those whose quiz scores indicated a need to see a physician were confirmed, on the audiogram, as having a hearing impairment.
Mark the column that best describes the frequency with which you experience each situation or feeling.
|5 Minute |
|Almost Always||Half the Time||Occasion|
|1. I have a problem hearing over the telephone.|
|2. I have trouble following the conversation when two or more people are talking at the same time.|
|3. People complain that I turn the TV volume too high.|
|4. I have to strain to understand conversations.|
|5. I miss hearing some common sounds like the phone or doorbell ringing.|
|6. I have trouble hearing conversations in a noisy background such as a party.|
|7. I get confused about where sounds come from.|
|8. I misunderstand some words in a sentence and need to ask people to repeat themselves.|
|9. I especially have trouble understanding the speech of women and children.|
|10. I have worked in noisy environments (assembly lines, jackhammers, jet engines, etc.).|
|11. Many people I talk to seem to mumble (or don't speak clearly).|
|12. People get annoyed because I misunderstand what they say.|
|13. I misunderstand what others are saying and make inappropriate responses.|
|14. I avoid social activities because I cannot hear well and fear I'll replay improperly.|
|To be answered by a family member or friend:
15. Do you think this person has a hearing loss?
Scoring: To calculate your score, give yourself 3 points for every time you checked the "Almost always" column, 2 for every "Half the time", 1 for every "Occasionally", and 0 for every "Never". If you have a blood relative who has a hearing loss, and another 3 points. Then total your points.
The American Academy of Otolaryngology-Head and Neck Surgery recommends the following:
0 to 5 --- Your hearing is fine. No action is required
6 to 9 --- Suggest you see an ear-nose-and-throat (ENT) specialist
10 and above --- Strongly recommend you see an ear physician.
©1992. This leaflet is published as a public service. The material may be freely used so long as attribution is given to the American Academy of Otolaryngology-Head and Neck Surgery, Inc., Alexandria, VA