Wisconsin 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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Description

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

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.

Vowel sounds, like the short ?o? in the word ?hot,? have low frequencies and are typically easy to hear even with hearing loss. Problems surface with consonants like ?s,? ?h,? and ?f,? which have higher frequencies and are more difficult to hear.

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.

The impacts of hearing loss are broad and can be profound. They include a loss of the ability to communicate with others delayed language development in children, which can lead to social isolation, loneliness and frustration, particularly among older people with hearing loss.

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

Despite its name, mild hearing loss can still have significant impacts on an individual's life. For example, someone with mild hearing loss may struggle to follow a group conversation in a noisy environment. They may also miss out on important auditory cues, such as warning signals or alarms.

Even though there are clear challenges from only hearing with one ear, most people live their life without technology or assistive devices to help them hear better.

Mild hearing loss is defined by being unable to hear sounds that are quieter than about 25 decibels (dB) for adults and 15 dB for children. This includes sounds like whispered conversations, dripping water, leaves rustling, feet shuffling on floors/carpets, and birds chirping.

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