FOLLOW-UP ASSESSMENT FORM FOR HEARING AID OWNERS

After owning hearing aids for a while, it is good to review the experiences you have had using them to see if the aids are providing the level of quality that you need. Here are a few basic questions that can help us evaluate the quality of your experience with your hearing aids.

1. HOW ARE YOU DOING WITH YOUR CURRENT HEARING AID(S)?

2. HOW MANY HOURS A DAY DO YOU WEAR YOUR HEARING AID(S)?

3. ARE YOU TURNING YOUR HEARING AID(S) UP LOUDER?

1. DO YOU HAVE FEEDBACK (WHISTLING)?
2. UNDER WHAT CIRCUMSTANCES?

4. IN WHAT SITUATIONS ARE YOU CURRENTLY HAVING DIFFICULTY HEARING?

1. MEETING (CHURCH)
2. DINNER TABLE
3. GROUPS
4. MOVIES
5. HOW ARE YOU DOING ON THE PHONE?
6. HOW ARE YOU DOING IN RESTARUANTS?

5. DOES YOUR CURRENT HEARING AID HAVE A TELEPHONE SWITCH?

6. ARE YOU TURNING UP THE TELEVISION LOUDER?

7. IF YOU COULD CHANGE ANYTHING ABOUT YOUR HEARING AID(S), WHAT WOULD YOU CHANGE?

8. DO YOU FEEL THAT YOUR HEARING HAS CHANGED?

9. HAVE YOU READ ABOUT ANY OF THE MANY NEW ADVANCES IN HEARING AIDS?

10. DO YOUR HEARING AIDS SPEND MORE TIME IN THE DRAWER THAN IN YOUR EARS?

11. WOULD YOU LIKE TO SEE IF A NEW HEARING AID(S) CAN HELP YOU HEAR BETTER?