Test your hearing

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Test your hearing

Is your hearing not what it used to be? We recommend that you fill out this short questionnaire. A member of the team at Marie-Josée Paul hearing clinic will review your results and contact you to set an appointment should your hearing require further assessment. We will then guide you through every step of the process, according to your needs.

Please note that in no way does this test replace a full hearing test. If you have any doubts regarding your hearing, please consult one of our hearing care professionals.

Please answer the following questions:

Do you find yourself asking people to speak up or to repeat themselves?

Yes No Sometimes

Do you often feel that people are mumbling or not speaking clearly?

Yes No Sometimes

Do you feel tired and have trouble concentrating?

Yes No Sometimes

Do others complain that the radio or TV is too loud?

Yes No Sometimes

Do you find it difficult to follow a conversation in noisy environments?

Yes No Sometimes

Do you have difficulty understanding what people are saying when you cannot see their face?

Yes No Sometimes

Do you sometimes not hear the telephone or doorbell ring?

Yes No Sometimes

Are you reluctant to visit others for fear of not being able to understand what they are saying?

Yes No Sometimes

Last name

First name

Age

Gender

Occupation

Postal code

Your email

Phone number

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Sorel –Tracy

212 avenue Hotel-Dieu
Sorel-Tracy J3P 7G4 450 742-8219

Make an appointment

Saint-Jérôme

305, rue de Montigny
Saint-Jérôme J7Z 5R1 450 431-2185

Make an appointment

Saint-Sauveur

68, avenue de la Gare, bureau 203
Saint-Sauveur J0R 1R0 450 227-9339

Make an appointment

Please answer the following questions:

Sorel –Tracy

Saint-Jérôme

Saint-Sauveur

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