Child Checklist
Questions for parents to Ask Directly to children
(simple, age-appropriate)
Full Name
*
Email
*
Do you sometimes find it hard to hear your teacher or friends?
*
Yes
No
Does it sound like people’s voices are muffled or underwater?
*
Yes
No
Do you like the TV or iPad louder than other people?
*
Yes
No
Do you sometimes feel your ears are blocked?
*
Yes
No
Do you get tired trying to listen at school?
*
Yes
No
Is it hard to hear when lots of people are talking?
*
Yes
No