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Hearing Loss Self-Test Checklist

The signs of hearing loss can be subtle and hard to recognize, thanks to the gradual period over which they may develop. Are any of the following situations familiar to you?

Please check the boxes for the situations that apply. (The information you supply is completely anonymous and will not be stored.)

Congratulations – you seem to have no problems with your hearing. Please help to make sure that it remains so, by avoiding excessive noise and wearing ear protection at all times.

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