We ask all new clients to complete this form so that we can understand how your hearing loss is impacting your life. With this information, we can work together to set your goals and expectations – ensuring you get the best results.
If you have scheduled a hearing test or consultation at our office, please fill out this form and our system will send a copy to your email (you must provide your email address). We will keep a copy of your completed form in your file.
If you are not a client of ours, you can still fill it out and our system send a copy to your email. You will find it helpful to refer back to this information if you are in the beginning stages of dealing with hearing loss.