The Heuser Hearing Institute, Home of the Louisville Deaf Oral School

Hearing Handicap Inventory for Adults - HHIA-S
Screening Version (HHIE-S; Ventry & Weinstein, 1983)
HHIE-S Score Interpretation (Lichtenstein, Bess & Logan, 1988)

Instructions: The purpose of this questionnaire is to identify the problems your hearing loss may be causing you. Answer YES, SOMETIMES or NO for each question. To obtain a total score, add up the "YES"(4 points), "SOMETIMES"(2 points) and "NO"(0 points) responses. If your score is greater than 10, a hearing test is recommended.

Y = Yes

S = Sometimes

N = No

Y	S	N	Does a hearing problem cause you to feel embarrassed when you meet new people?
Y	S	N	Does a hearing problem cause you to feel frustrated when talking to members of your family?
Y	S	N	Do you have difficulty hearing / understanding co-workers, clients, customers?
Y	S	N	Do you feel handicapped by a hearing problem?
Y	S	N	Does a hearing problem cause you difficulty when visiting friends, relatives or neighbors?
Y	S	N	Does a hearing problem cause you difficulty in the movies or in the theater?
Y	S	N	Does a hearing problem cause you to have arguments with family members?
Y	S	N	Does a hearing problem cause you difficulty when listening to TV or radio?
Y	S	N	Does a hearing problem cause you to attend religious services less often than you would like?
Y	S	N	Do you feel that any difficulty with your hearing limits or hampers your personal or social life?
Y	S	N	Does a hearing problem cause you difficulty when in a restaurant with relatives or friends?

Louisville, KY 40203

info@thehearinginstitute.org
phone: V - 502.515.3320 or TDD - 502.515.3323

fax: 502.515.3325
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