Hearing Questionaire

Using the chart above as reference, please score your answers to the following questions from 1 to 10.
The questions should be answered as if you are not wearing hearing aids.

Describe the level of the sounds of running water from the faucet.*
If a dog was barking next to you, please describe how it sounds.*
If a lawn mower was running next to you, please describe how it sounds.*
Describe the sound of a baby crying.*
Describe the level of sound of a piano playing.*
Describe your ability to understand in a group conversation.*
Describe the level of the sound of a clock ticking or a bird chirping.*
Describe the level of the sound of a vacuum cleaner.*
Describe the level of the sound of a phone rining.*
First Name*
Last Name*
Email Address*
Phone Number*