Get Better Hearing Questionnaire - Audiology Experts

Completing the Better Hearing Questionnaire is an essential step in assessing your hearing concerns and ensuring you receive appropriate care. This guide will provide you with clear, step-by-step instructions to fill out the questionnaire effectively.

Follow the steps to fill out the Better Hearing Questionnaire

1. Press the ‘Get Form’ button to access the questionnaire and open it for completion.
2. Begin by entering your personal information at the top of the form. Fill in your name, age, and how you heard about the audiology service, as well as the name of any companion present for your appointment.
3. Move on to the medical/audiologic history section. Answer the questions regarding past ear surgeries, ear-related conditions, family history of hearing loss, exposure to loud noises, head trauma, and any dizziness or vertigo experienced.
4. Indicate which ear you perceive to hear better and explain why you believe there’s a difference. This section helps audiologists understand your hearing experience in detail.
5. If you currently wear hearing aids, provide information about them, including which ear they assist, the purchase year, and any issues you may experience with these devices.
6. Respond to the question regarding your reasons for seeking a hearing test at this time, choosing from the multiple-choice options provided or explaining your own reason.
7. Next, complete the medical history section by checking any medical conditions you have had or currently have and listing medications you take, ensuring you provide accurate information for your audiologist.
8. In the hearing difficulty questionnaire, assess your hearing quality in various listening situations and rate the importance of each situation to you, selecting options for use with and without hearing aids.
9. Finally, rank the factors that influence your decision when purchasing hearing instruments in order of importance, from 1 to 5.
10. Conclude by signing and dating the form at the bottom. After completing all sections, you may save your changes, download a copy of the completed form, print it, or share it as necessary.

Start filling out the Better Hearing Questionnaire online today to help us assist you in achieving better hearing.