| Symptom | Rarely (Less than monthly) |
Sometimes (At least monthly) |
Often (At least weekly) |
Always (At least daily) |
Does a hearing problem cause you to feel embarrassed when meeting new people? |
||||
Does a hearing problem cause you to feel frustrated when talking to members of your family? |
||||
Do you have difficulty hearing when someone whispers? |
||||
Do you feel handicapped by a hearing problem? |
||||
Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors? |
||||
Does a hearing problem cause you to attend religious services less often than you would like? |
||||
Does a hearing problem cause you to have arguments with family members? |
||||
Does a hearing problem cause you difficulty when listening to TV or radio? |
||||
Do you feel that your hearing limits or hampers your personal or social life? |
||||
Does a hearing problem cause you difficulty when in a restaurant with relatives or friends? |