Survey

Select the statement that best describes your hearing aid status

I currently wear hearing aids

I have worn hearing aids in the past

I do not wear hearing aids, but suspect I have a hearing loss

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Please select your age range

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Are you familiar with this brand?

Yes

No

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Are you familiar with this brand?

Yes

No

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Are you familiar with this brand?

Yes

No

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Are you familiar with this brand?

Yes

No

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Are you familiar with this brand?

Yes

No

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Are you familiar with this brand?

Yes

No

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Do you experience tinnitus?

Tinnitus can take many forms, including ringing, buzzing, hissing, whistling, throbbing, booming, clicking, roaring, and even the sound of cicadas.

Yes, and I would like help managing it

Yes, but it does not bother me

I do not experience tinnitus

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Which of the following would you like to hear better?

Select all options that best describe you

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How would you best describe your current lifestyle?

Select all options that best describe you

Urban DwellerActive OutdoorsyTech-SavvySocial ButterflyQuiet LifestyleOffice EnvironmentAudiophileOther (please specify)

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In the last 6 months have you had any of the following:

Select all options that best describe you

Diagnostic hearing test at a clinic

Free hearing screening at clinic

Online or smartphone hearing check

None of the above

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What is your ZIP code?

Please enter your zip code below.

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Please answer the following questions about your health

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Your Results

Select the statement that best describes your hearing aid status

Please select your age range

Are you familiar with this brand?

Are you familiar with this brand?

Are you familiar with this brand?

Are you familiar with this brand?

Are you familiar with this brand?

Are you familiar with this brand?

Do you experience tinnitus?

Which of the following would you like to hear better?

How would you best describe your current lifestyle?

In the last 6 months have you had any of the following:

What is your ZIP code?

What is your email?

What is your name?

What is your phone number?

Your Hearing Summary