1. YES NO
    Do people seem to mumble or speak in a softer voice than they used to?
  2. YES NO
    Do you feel tired or irritable after a long conversation?
  3. YES NO
    Do you sometimes miss key words in a sentence, or frequently need to ask people to repeat themselves?
  4. YES NO
    When you are in a group or in a crowded restaurant, is it difficult for you to follow the conversation?
  5. YES NO
    When you are together with other people, does background noise bother you?
  6. YES NO
    Do you often need to turn up the volume on your TV or radio?
  7. YES NO
    Do you find it difficult to hear the doorbell or the telephone ring?
  8. YES NO
    Is carrying on a telephone conversation difficult?
  9. YES NO
    Do you find it difficult to pinpoint where an object is (e.g. an alarm clock or telephone) from the noise it makes?
  10. YES NO
    Has someone close to you mentioned that you might have a problem with your hearing?