Five Minutes Hearing Test

I have a problem hearing over a telephone

Almost Always Half the time occasionally Never

I have trouble following the conversation when two or more people are talking at the same time

Almost Always Half the time occasionally Never

People complain that I turn the TV volume too high

Almost Always Half the time occasionally Never

I have to strain to understand conversations

Almost Always Half the time occasionally Never

I miss hearing some common sounds like the phone or doorbell ringing

Almost Always Half the time occasionally Never

I have trouble hearing conversations in a noisy background such as a party

Almost Always Half the time occasionally Never

I get confused about where sounds come from

Almost Always Half the time occasionally Never

I misunderstand some words in a sentance and need to ask people to repeat themselves

Almost Always Half the time occasionally Never

I especially have trouble understanding the speech of women and children

Almost Always Half the time occasionally Never

I have worked in a noisy enviornment (assembly lines, jackhammers, jet engines, etc)

Almost Always Half the time occasionally Never

Most people I talk to seem to mumble(or dont speak clearly)

Almost Always Half the time occasionally Never

People get annoyed because I misunderstand what they say

Almost Always Half the time occasionally Never

I misunderstand what are saying and make inappropritate responses

Almost Always Half the time occasionally Never

I avoid social activities because I cannot hear well. And fearI'll reply improperly

Almost Always Half the time occasionally Never

To be answered by a family member or a friend

Do you think this person has a hearing loss?

Almost Always Half the time occasionally Never

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, add another 3 points. Then total your points.

The American Academy of Otolaryngology - Head and Neck Surgery recommends the following:

0 to 5 - No hearing loss; 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

ENT surgeon Dr. Christopher desouza

To be answered by a family member or a friend

SCORING