First Steps:
Needs Assessment
Where do I have trouble hearing?
 |
Television |
|
Telephone |
|
Church, Theater |
|
Groups |
|
At Work |
Who is talking when I have difficulty?
|
Male voice |
|
Female voice |
|
Child’s voice |
What is going on around me when I have difficulty?
|
Noise |
|
People talking |
|
Fans, air conditioning, or motors running |
|
Car noise |
|
Other noise _______ |
|
Reverberant or acoustically treated room |
|
Distance or close up |
|
One person talking or many people talking to me at once |
How often am I in situations that give me trouble hearing?
|
Daily |
|
Weekly |
|
Monthly |
|
Rarely |
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