1
Hearing Loss
2
General Hearing
3
Music and audio streaming
4
Phone Calls
5
Device Preferences
6
Reliability
7
Other
8
Accessories
9
About You
How much hearing loss do you have?
Please select all of the levels of hearing loss that you have. For example, if you have "mild to moderate" hearing loss, please check both the "mild" and "moderate" checkboxes.
Mild hearing loss
Moderate hearing loss
Severe hearing loss
Profound hearing loss
I'm not sure
Page 1 of 9
How important are the following when purchasing a hearing aid?
Improved ability to hear friends and family in quiet settings.
If you struggle to hear friends and family in quiet settings, and want to hear them better, this should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Improved ability to hear friends and family in noisy environments.
If you struggle to hear friends and family in noisy settings, and want to hear them better, this should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Page 2 of 9
How important are the following when purchasing a hearing aid?
Improved hearing for music.
If you struggle to hear music, and want to hear it better, this should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to access audio broadcasted by hearing loops.
A built-in hearing aid telecoil is required to pick up audio broadcasted by hearing loops. Hearing loops are often installed in auditoriums and other meeting places.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to stream audio from your television to your hearing aids?
If you currently struggle to hear dialog on the TV, and want to hear it better, this should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to stream multimedia audio from any non-Apple devices (like laptops and MP3 players) to your hearing aids?
In some cases, an additional accessory may be required.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Page 3 of 9
How important are the following when purchasing a hearing aid?
Improved hearing on landline telephones.
Landline telephones are standard phones that plug into your wall at home. The handset may be wired or wireless.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Improved hearing on mobile telephones.
Mobile phones are any phones that operate over a cellular network (away from home).
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to stream audio from landline phones to your hearing aids.
There are accessories available that can stream a caller's voice directly to your hearing aids. However, only some hearing aids are compatible with such accessories.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to stream audio from mobile phone calls to your hearing aids.
There are smartphone apps that can stream a caller's voice directly to your hearing aids. Solutions exist for iPhone, Android, and most new Bluetooth-enabled mobile phones.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to have completely hands-free mobile phone calls with your hearing aids.
Hands-free calls are possible with hearing aids, but in some case an additional accessory may be required.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Page 4 of 9
How important are the following when purchasing a hearing aid?
Physical comfort of the hearing aid in your ear.
Some styles of hearing aids are more comfortable than others. If you are sensitive to objects in or around your ears, this should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Which level of hearing aid technology are you interested in purchasing?
Please select all levels of technology that you are open to purchasing.
Advanced technology (most expensive)
Mid-range technology
Essential technology (least expensive)
Show me the best matches, regardless of price
Visibility of the hearing aid
How important is keeping the hearing aid hidden from those around you?
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Rechargeability
Some hearing aids use rechargeable hearing aid batteries, and may be recharged at night for the next day's use. If you have poor manual dexterity or poor vision, it may be easier to manage rechargeable hearing aids as there's no need to replace batteries.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Page 5 of 9
How important are the following when purchasing a hearing aid?
Reliability of the hearing aid.
Some hearing aids are more reliable than others. While a manufacturer warranty may cover necessary repairs, sometimes dealing with repairs can become burdensome.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Water resistance.
If you spend a lot of time in wet or humid environments, or perspire heavily, water resistance should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Dust resistance.
If you spend a lot of time in dusty environments, dust resistance should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Page 6 of 9
How important are the following when purchasing a hearing aid?
Ability to override automatic volume control and program settings.
Most modern hearing aids adjust the volume automatically based on your environment. How important is overriding this with manual controls?
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to have hearing aids adjusted from home.
Some hearing aids may be adjusted remotely. This means that your hearing provider may adjust your hearing aids from their office whilst you are at home. Consider this if your hearing provider is far away, or leaving the home is difficult for you.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
What type of mobile phone do you use?
Please select the primary device you'd like to use with your hearing aids.
iPhone
Android
iPhone and Android
Other
Page 7 of 9
How important are the following when purchasing a hearing aid?
Ability control your hearing aid's volume and settings using a smartwatch.
If you want to control your hearing aids via a smartwatch (Apple watchOS, Wear OS by Google, etc), this should be an important consideration.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Ability to pick up distant voices and beam them directly to your hearing aids using a “remote microphone.”
You may give a remote microphone to a conversational partner, or place it near people you want to hear. This helps to improve the clarity of your conversational partner's voice (or other target voices) in noisy environments.
Extremely Important
Very Important
Moderately important
Slightly important
Not at all important
Page 8 of 9
Tell us about yourself
What is your gender?
Female
Male
Gender diverse (please state)
In what year were you born?
2020
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Do you currently wear hearing aids?
Yes
No
No, but I have in the past
How many years have you worn hearing aids, in total?
0 years
1 year
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48 years
50+ years
From the time you first learned you had a hearing problem how long did you wait before purchasing your first hearing aids?
0 years
1 year
2 years
3 years
4 years
5 years
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8 years
9 years
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48 years
50+ years
What describes your work?
Entry level, trade, or non-professional work
Knowledge-based or professional work
Retired
Not working
What is the highest level of schooling you finished?
Not a high school graduate
High school graduate or equivalent
Some college or associate degree
Bachelor's degree or higher
Page 9 of 9
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