Skip Ribbon Commands
Skip to main content
Skip Navigation LinksBoys Town National Research Hospital > Hearing Services > Hearing and Balance Center > Hearing Self-Test Questionnaire

Hearing Self-Test Questionnaire

​​​​​​​Hearing Problems? You can trust us.

Boys Town Ear, Nose and Throat Institute of Omaha, NE is a center of excellence for diagnosis and treatment for hearing, balance and speech disorders. The Board Certified ENT doctors at our Hearing and Balance Center​ specialize in the identification and management of hearing loss.

Questions to ask yourself if you suspect hearing loss…​

  • Do you have to strain to listen?
  • Do you feel frustration when you are conversing?
  • Do you have to ask people to repeat themselves?
  • Do you have difficulty when someone speaks in a whisper?
  • Do you misunderstand people and respond inappropriately?
  • Do you find yourself withdrawing from social activities because it is difficult to hear?
  • Do you have arguments with your family members because of your hearing?
  • Do you have difficulty talking on the telephone or hearing the TV or radio?
  • Do you have trouble hearing in a restaurant?
  • Do you have dizziness, pain or ringing in your ears?

  • — Modified from the Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S), Ventry & Weinstein, 1983, and the ASHA Self-Test Questionnaire

Boys Town Hearing and Balance can​ help you with:

  • Hearing and balance evaluations
  • Hearing aid custom fitting and dispensing
  • Assistive listening devices for televisions and telephones
  • Custom ear molds for cell phones and other devices
  • Bluetooth- and FM system-compatible hearing aids
  • Rehabilitative treatment plans and physical therapy programs for balance treatment
  • Support programs and follow-up care

Why seek treatment for hearing loss?

Benefits people report after seeking treatment for hearing loss…

  • Better relationships with their families
  • Better feelings about themselves
  • Improved mental health
  • Greater independence and security