805 N. Bethleham Pike  -  Spring House,  PA  19477

 

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10 Myths &
10 Facts
Personal Reactions to Hearing Loss
Hearing Evaluation for Adults
Hearing Evaluation for Seniors
Hearing Aid Types
Hearing Aid Care
Hearing Aid Repair
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Two Ears are Better than One
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Starkey Labs

Hearing Handicap Inventory
for the Elderly
Screening [HHIE-S]

INSTRUCTIONS: The purpose of this questionnaire is to identify the problems your hearing loss may be causing you. Answer YES, SOMETIMES, or NO for each question. To obtain a total score, add up the "yes" (4 points), "sometimes" (2 points), and "no" (0 points) responses. If your score is greater than 10, a hearing test is recommended.

Yes

Sometimes

No

4

2

0

  • El - Does a hearing problem cause you to feel embarrassed when you meet new people?

  • E2 - Does a hearing problem cause you to feel frustrated when talking to members of your family?

  • S1 - Do you have difficulty hearing when someone speaks in a whisper?

  • E3 - Do you feel handicapped by a hearing problem?

  • S2 - Does a hearing problem cause you difficulty when visiting friends, relatives or neighbors?

  • S3 - Does a hearing problem cause you to attend religious services less often than you would like?

  • E4 - Does a hearing problem cause you to have arguments with family members?

  • S4 - Does a hearing problem cause you difficulty when listening to TV or radio?

  • E5 - Do you feel that any difficulty with your hearing limits or hampers your personal or social life?

  • S5 - Does a hearing problem cause you difficulty when in a restaurant with relatives or friends?

Hearing Handicap Inventory
for the Elderly
Spouse [HHIE-SP]

INSTRUCTIONS: The purpose of this questionnaire is to identii~ the problems the hearing loss may be causing your spouse. Answer YES, SOMETIMES, or NO for each question. To obtain a total score, add up the "yes" (4 points), "sometimes" (2 points), and "no" (0 points) responses. If the score is greater than 10, a hearing test is recommended.

Yes

Sometimes

No

4

2

0
  • El - Does a hearing problem cause your spouse to feel embarrassed when meeting new people?
  • E2 - Does a hearing problem cause your spouse to feel frustrated when talking to members of your family?
  • Sl - Does your spouse have difficulty hearing when someone speaks• in a whisper?
  • E3 - Does your spouse feel handicapped by a hearing problem?
  • S2 - Does a hearing problem cause your spouse difficulty when visiting friends, relatives or neighbors?
  • S3 - Does a hearing problem cause your spouse to attend religious services less often than he or she would like?
  • E4 - Does a hearing problem cause your spouse to have arguments with family members?
  • S4 - Does a hearing problem cause your spouse difficulty when listening to TV or radio?
  • E5 - Do you feel that any difficulty with hearing limits or hampers your spouse’s personal or social life?

  • S5 - Does a hearing problem cause you difficulty when in a restaurant with relatives or friends?

 

Blue Bell Hearing Aid Center, Inc.

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805 N. Bethleham Pike   Spring House, PA  19477   (215) 641-1317
alicia@heargal.com