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Hearing Loss Questionnaire

Do you wonder if you have hearing loss?

Let’s Find Out!

Welcome to your Hearing Loss Questionnaire

Name
Email
Phone
Do you have a problem hearing over the telephone?
Do you have trouble following the conversation with two or more people talking at the same time?
Do people complain that you turn the TV volume up too high?
Do you have to strain to understand conversation?
Do you have trouble hearing in a noisy background?
Do you find yourself asking people to repeat themselves?
Do family members or coworkers remark about you missing what has been said?
Do many people you talk to seem to mumble (or not speak clearly)?
Do you misunderstand what others are saying and respond inappropriately?
Do you have trouble understanding the speech of women and children?

Facility Information
Our Staff
Our Location
What Makes Us Right For You?

It begins with a sincere question, “What brings you here, today?” At PHH, we pride ourselves in getting to the root of your concerns regarding you or your loved-one’s communicative difficulties… whether it’s problems understanding grandchildren talking when they come to visit or problems understanding a spouse or coworkers, we are here to help you.

It is not unique to see our waiting rooms full of mothers, fathers, sisters, brothers, and grandparents… not to mention a close friend or an aunt or uncle from time to time. It is important to note that we communicate with the people around us… so THEY are the key to building and acheiving success in a hearing rehabilitative program.

Schedule an Appointment
Right Now!
We know it's tough, but we'll help you through it!