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Hearing Link

Rater details

To print a copy of this survey to take with you, click here to display whole survey and then print it.
Note: Your contact details will only be used to allow us to contact you to request a follow-up survey.  Your details will not be entered onto a database or used for any other purpose without your permission (see Security Policy). Responses are anonymous.
3. Your hearing loss history

How long have you had hearing loss?
4. How long have you used a hearing aid or implant?