Do you experience difficulty in one-on-one conversations (e.g., at home, at work, with a waitress, a store clerk, a boss)? YES NO Do you have difficulty hearing small group conversations (e.g., with friends, co-workers, in meetings, at dinner)? Do you have difficulty hearing someone speaking to a large group (e.g., at church, a club meeting, an educational lecture)? Do you experience hearing difficulties while participating in various types of entertainment (e.g., TV, radio, plays, night clubs, music entertainment)? Do you experience problems in difficult listening situations (e.g., at a noisy party, where there is background music, in a car or bus, when someone whispers or talks from across the room)? Do you have problems hearing various communication devices (e.g., telephone, telephone ring, doorbell, public address system, warning signals, alarms)? Do you feel that your hearing limits or hampers your personal or social life? Does the difficulty with your hearing upset you? Do others suggest that you have a hearing problem? Do others leave you out of conversations or become annoyed because of your hearing?
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