Post Order Questionnaire

Could you share the results of your hearing test? *

Upload Your Hearing Aid Test Results (Audiogram)

What are your main hobbies or lifestyle activities that might affect your hearing needs? *

What is your current profession or typical working environment? *

What kind of phone do you use (make and model)? *

Do you have any special hearing requirements, such as compatibility with a hearing loop? *

What is your age? *

Do you know your preferred receiver length, or has one been used previously? *

What type of domes have you used before, if any? *

Have you used hearing aids before? If so, what was your experience with them? *

Which hearing aid brand(s) have you previously used, if any?

Do you have any relevant ENT (Ear, Nose & Throat) history or medical conditions related to hearing? *