II. Criteria: Questions
- Embarrassed when meeting new people due to Hearing problem
- Frustrated when speaking to family due to Hearing problem
- Difficulty Hearing whispered voice
- Feel impaired by Hearing problem
- Hearing interferes with visiting with family and friends
- Attends religious services less often due to Hearing problems
- Hearing problem result in arguments with family
- Hearing problem interferes with listening to television and radio
- Hearing problem interferes with social life
- Hearing problem interferes with communication in a restaurant
III. Protocol
- Rate each question with either a Yes, Sometimes or No
- Scoring: Total the score for each of the 10 questions
- Yes: 4 points
- Sometimes: 2 points
- No: 0 points