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Our Five Minute Test
A five minute-test can determine if you may be a candidate for our free screening A five-minute test can determine if you may be a candidate for our Free screening
We invite you to take this five-minute test to determine if you may qualify.
If you answer “yes” to any three questions, we urge you to call today to try this NEW technology.
1. Do you have difficulty understanding speech in a group of people? [ ] Yes [ ] No
2. Do you often ask that statements, questions and directions be repeated? [ ] Yes [ ]No
3. Do you hear people speaking, but have difficulty understanding the words? [ ]Yes [ ] No
4. Must others ever raise their voices or move closer to help you understand them? [ ] Yes [ ] No
5. Do you have to turn up the TV volume in Order to understand clearly? [ ] Yes [ ] No
6. Has misunderstanding speech or words affected your performance at work? [ ] Yes [ ] No
7. Do you avoid social situations like restaurants or public gatherings? [ ] Yes [ ] No
8. Do you have difficulty understanding conversations in the car? [ ] Yes [ ]No
9. Do you have difficulty understanding conversations on the telephone? [ ]Yes [ ]No
10. Has misunderstanding speech or words affected your relationships at home? [ ] Yes [ ] No
Bring this filled out questionnaire with you.
Benefits of hearing aids vary by type and degree of loss. Consult your hearing care provider.
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