Pennsylvania Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss

State:
Multi-State
Control #:
US-01935BG
Format:
Word
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An affidavit is statement of facts which is sworn to (or affirmed) before an officer who has authority to administer an oath (e.g. a notary public). The person making the signed statement (affiant) takes an oath that the contents are, to the best of their knowledge, true. It is also signed by a notary or some other judicial officer that can administer oaths, affirming that the person signing the affidavit was under oath when doing so. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction

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  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss

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FAQ

Hearing Loss Ranges (in decibels) There are different levels of hearing loss. Some forms of hearing loss can be treated with a hearing aid. If your hearing falls into the 26-70 dB range (mild to moderate), a hearing aid can be very effective in restoring sounds for your daily life.

Many people with hearing loss experience a drop in self-esteem and confidence because of their impaired ability to communicate with other people. Having hearing loss can also limit one's ability to learn to speak a new language.

Stage 4: Severe hearing loss Severe, or stage 4, hearing loss is the diagnosis when the quietest sounds you can detect fall between 65 and 79 dB. With severe hearing loss, you need strong hearing aids to navigate daily life since this stage is considered very hard of hearing.

Mild hearing loss: Hearing loss of 20 to 40 decibels. Moderate hearing loss: Hearing loss of 41 to 60 decibels. Severe hearing loss: Hearing loss of 61 to 80 decibels. Profound hearing loss or deafness: Hearing loss of more than 81 decibels.

Degrees of Hearing Loss Degrees of Hearing LossHearing Threshold in Decibels (dB)Mild Hearing Loss25-40 dBModerate Hearing Loss40-60 dBSevere Hearing Loss60-80 dBSevere-to-Profound Hearing Loss80-90 dB2 more rows

Use simple sentences rather than complex ones which can be hard to follow. Make sure to speak clearly and slowly and at a natural volume. If you raise your voice too much, it might be more difficult for your spouse to hear and understand since the sound can be distorted.

Untreated hearing loss may affect your social life, lower your quality of life and cause mental anguish. Hearing aids do not cure hearing loss, but in most cases they can help hearing impaired people live normal lives. For many hearing impaired people hearing aids open up a whole new world.

Let your family and friends know you have a hearing problem. Ask people to face you and to speak louder and more clearly. Ask them to repeat themselves or reword what they're saying. Pay attention to what is being said and to facial expressions or gestures.

Speak clearly, slowly, distinctly, but naturally, without shouting or exaggerating mouth movements. Shouting distorts the sound of speech and may make speech reading more difficult. Say the person's name before beginning a conversation.

Not every person with hearing loss can receive a cochlear implant. Good candidates are patients who are deaf, have moderate-to-profound hearing loss in both ears, or have profound and severe hearing loss in one ear.

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Pennsylvania Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss