Hearing Screener

The next few slides will assess the challenges you are experiencing to enable us to recommend the best solution for you. We do request some personal information from you in order for us to suggest age-appropriate solutions as well as for an audiologist to be in touch with you.

As we subscribe to the POPIA, we commit to only using your personal information for the purposes mentioned above.

Click the arrow below right to begin the screener

Please complete as many fields as possible so we can give you the best advice.

First Name *

Last Name

Date of birth

Phone *

Email *

The following 10 questions will give an indication of your hearing challenges.

Does a hearing problem cause you to feel embarrassed when you meet new people?

Yes

Sometimes

Does a hearing problem cause you to feel frustrated when talking to members of your family?

Yes

Sometimes

Do you have difficulty hearing when someone speaks in a whisper?

Yes

Sometimes

Do you feel handicapped by a hearing problem?

Yes

Sometimes

Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbours?

Yes

Sometimes

Does a hearing problem cause you to attend religious services less often than you would like?

Yes

Sometimes

Does a hearing problem cause you to have arguments with family members?

Yes

Sometimes

Does a hearing problem cause you difficulty when listening to the TV or radio?

Yes

Sometimes

Do you feel that any difficulty with your hearing limits or hampers your personal or social life?

Yes

Sometimes

Does a hearing problem cause you difficulty when in a restaurant with relatives or friends?

Yes

Sometimes

Any questions or comments?

In order to suggest the closest, qualified iCAN audiologist or acoustician to you, please select your province and insert the city/town and suburb in which you live.

Province in which you reside *

Gauteng
KwaZulu Natal
Western Cape
Northern Cape, Eastern Cape or Free State
Limpopo, Mpumalanga or North West Province
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City/Town *

Suburb *

This screener is now complete. Please click the submit button and an audiologist or acoustician will be in touch.