You can also call the appointment center to schedule, change or cancel an appointment or ask questions.
Hearing Handicap Questionnaire
Answer Yes, No or Sometimes for each question. Do not skip a question if you avoid a situation because of a hearing problem. If you use a hearing aid, please answer according to the way you hear with the aid.
Give yourself points for each answer: No = 0, Sometimes = 2, Yes = 4.
0-8 = no handicap; 10-24 = mild to moderate handicap; 26-40 = severe handicap
*Adapted from Ventry I, Weinstein B. Identification of elderly people with hearing problems. ASHA. 1983; 25:37-42.
To schedule an audiology appointment for a more accurate test of your hearing, call 248-551-2119.