Please answer these questions as honestly as you can. If you think more than one applies to you, just try to pick the one that most applies to you.

1. I have trouble understanding conversation in a busy, noisy or distracting environment.

2. I must turn up the volume on the television or the radio very high to understand.

3. I have difficulty following conversations when several people are talking at the same time.

4. I have trouble understanding if people talk too fast.

5. I have trouble locating where sounds are coming from.

6. I don't Always hear when someone knocks at the door.

7. I have trouble hearing the phone ring if I am in another room of the house.

8. If I can't see the face of the person I am speaking with it's difficult for me to understand what they are saying.

9. I have trouble understanding conversation over the telephone.

10. I have trouble understanding if someone speaks to me from another room.


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