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 reply improperly.

15. To be answered by a family member or friend:
     Do you think this person has a hearing loss?