Hearing Pre-Assessment : Sound Hearing Clinic

207-1160 Burrard Street, Vancouver, B.C. V6Z 2E8 


Sound Hearing Clinic
Menu
  • About Us
    • About Us
    • Our Guarantee
    • Vision Mission Goals
    • Our Team
    • Your Privacy
  • Services
    • Services
    • Treatment Plan
    • Hearing Pre-Assessment
    • Aural Rehabilitaion
  • Products
    • Products
    • Hearing Instruments
    • Hearing Aid Re-Training Instructions
    • Accessories
    • Hearing Aid Accessory Instructions
    • Troubleshooting a Hearing Aid
  • Musicians
  • Your Hearing
    • Your Hearing
    • How we hear
    • Communicating better
  • Tinnitus
  • Interesting Links
    • Interesting Links
    • Foods for Better Hearing
    • Events
  • Blog
  • Contact Us
    • Frequently Asked Questions
    • Contact Us
    • Testimonials
(604) 687-1488 
Request an Appointment
  • About Us
      • About Us
      • Our Guarantee
      • Vision Mission Goals
      • Our Team
      • Your Privacy
  • Services
      • Services
      • Treatment Plan
      • Hearing Pre-Assessment
      • Aural Rehabilitaion
  • Products
      • Products
      • Hearing Instruments
      • Hearing Aid Re-Training Instructions
      • Accessories
      • Hearing Aid Accessory Instructions
      • Troubleshooting a Hearing Aid
  • Musicians
  • Your Hearing
      • Your Hearing
      • How we hear
      • Communicating better
  • Tinnitus
  • Interesting Links
      • Interesting Links
      • Foods for Better Hearing
      • Events
  • Blog
  • Contact Us
      • Frequently Asked Questions
      • Contact Us
      • Testimonials

 Hearing Pre-Assessment

Do you wonder whether or not you have hearing loss?

This is a quick questionnaire that can be completed prior to a full hearing evaluation by an Audiologist.  It is designed to give us more information about your current hearing experiences.  It does not in any way replace the need for a full and complete audiology evaluation by an Audiologist.

Please complete and submit your responses to the clinic prior to your appointment. Thank you.          

 

Personal Information

*
*
 
*
Please mark the columns which best describes the frequency with which you experience each situation or feeling listed below:
*
*
*
*
*
*
*
*
*
*
Office use: compare to companion questionnaire. Open ended questions for more information.
Previous
Next
Submitting...

Ready to Start Your Journey to Better Hearing?

Contact our hearing professionals today to begin.

Request an appointment


Copyright © Sound Hearing Clinic 2018. Powered by SiteCM™
Product images and illustrations © copyright "Resound".
Privacy Policy