Alpha Hearing Survey - Alpha Hearing

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Hearing Loss
Hearing Aids
Contact Us

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Do you have difficulty hearing when there is noise around you?*

Yes

No

Does it feel as if people mumble when they speak to you?*

Yes

No

Do you often ask people to repeat what they say?*

Yes

No

Does your family complain that the TV is too loud?*

Yes

No

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Name

Surname

Contact Number

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Concern or query

Name

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