Hearing Test-Questionnaire

Enter your name (required)

Enter your e-mail (required)

Enter your Phone (required)

1. Do you do often repeat the words ?
 Yes No

2.Do you feel tense in meetings because you have trouble following the conversation ?
 Yes No

3.Do you find it difficult to understand what they tell you on the phone
 Yes No

4. Do you put the TV volume higher than the rest of your family or friends?
 Yes No

5. Do you have the impression that people are whispering around you?
 Yes No

6. Do you mind traffic noise on the street to the point of feeling insecure?
 Yes No

7. Have you suffered or suffer from tinnitus (ringing ) ?
 Yes No

8. Do you find it difficult to hear the voices of children?
 Yes No

Finally enter the following characters long as they appear(captcha)
captcha

0002067041UU-1280x1920