Do you feel that people mumble?	YES	NO
	Do you have difficulty in following a conversation in a crowded room?	YES	NO
	Do you frequently ask people to speak up or repeat themselves, especially children and women?	YES	NO
	Do you have difficulty hearing in church, auditoriums or theatres?	YES	NO
	Do you turn the TV up louder than others?	YES	NO
	Do you hear better in one ear than another?	YES	NO
	Do you seem to get tense and anxious at meetings or social gatherings?	YES	NO
	Do others comment on your inability to hear?	YES	NO