Hearing questionnaire

For each question, check the box that best fits your situation. Check only one box per question and answer all questions. The results will give you an overview of your hearing, but are not valid as a hearing assessment.

Questions

  • Never
  • Sometimes
  • Often
  • Always

My child asks people to repeat themselves.

Never
Sometimes
Often
Always

My child is easily distracted.

Never
Sometimes
Often
Always

My child has difficulty understanding in a group or in a noisy environment.

Never
Sometimes
Often
Always

My child confuses words or sounds that are alike.

Never
Sometimes
Often
Always

My child needs to raise up the TV volume to better understand.

Never
Sometimes
Often
Always

My child has trouble understanding if he/she doesn't see the face of the person who's speaking.

Never
Sometimes
Often
Always

My child reacts to speech slowly or with a delay.

Never
Sometimes
Often
Always

My child doesn't answer when we call his/her name.

Never
Sometimes
Often
Always

My child has trouble understanding verbal instructions.

Never
Sometimes
Often
Always

My child has learning disabilities (reading, writing, mathematics).

Never
Sometimes
Often
Always
Submit my answers