PHONE: (956)702-7777

FAX: (956)702-7773

1.Do you have a problem hearing over the telephone?

2.Do you hear better through one ear than the other when you are on the telephone?

3.Do you have trouble following a conversation with two or more people talking at the same time?

4.Do people complain that you turn the TV volume up too high?

5.Do you have to strain to understand conversation?

6.Do you have trouble hearing in a noisy background?

7.Do you have trouble hearing in restaurants?

8.Do you have dizziness, pain, or ringing in your ears?

9.Do you find yourself asking people to repeat themselves often?

10.Do family members or coworkers remark about you missing what has been said?

11.Do many people you talk to seem to mumble (or not speak clearly)?

12.Do you misunderstand what others are saying and respond inappropriately?

13.Do you have trouble understanding the speech of women and children?

14.Do people get annoyed because you misunderstand what they say?

please write out these questions and your answers in a yes/no format and bring the results to:

pharr tx: 300 E Expressway 83, Suite G

Pharr, TX 78577?

We will gladly help you regarding your hearing questions and or issues.

Hearing survey

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