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First name

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What is your preferred language?

Do you have a hearing implant?

Yes

Are you interested in upgrading?

Yes

Which of the following best describes your current situation?

Looking for help to improve hearing

Looking for a hearing professional to help understand treatment options

Have a hearing loss diagnosis and now researching treatment options

Have a treatment option and now researching brands

Booked for surgery

Do you experience hearing loss in one or both ears?

Hearing loss in one ear

Hearing loss in both ears

Not sure

What is the severity of your hearing loss?

Mild

Moderate

Severe

Profound

Not sure

How long have you used hearing aids?

Never used a hearing aid

Less than 2 years

3 to 4 years

More than 5 years

Disclaimer

*Koike, J.; Hurst, M.K.; and Wetmore, S. J. Correlation between the American Academy of Otolaryngology -Head and Neck Surgery five-minute hearing test and standard audiological data, Otolaryngology - Head and Neck Survey, Volume 111 (5), pp. 625-632.

Visit the Better Hearing Institute for more information about the Quick Hearing Test.

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