Your Hearing Aid – BELTONE™ Hearing Innovations (Pty) Ltd

1. Do you hear better with your hearing aids in conversation and noise?* *

2. Do you communicate well over the phone with hearing aids?* *

3. Do you have to set the TV louder even if you are wearing hearing aids?* *

4. Do you have to your hearing aids repaired often?* *

5. Do you struggle with whistling hearing aids from time to time?* *

Any questions or comments on your hearing aid? *

What is your age? *

Which area do you reside in? *

Name *

First

Last

Contact/Cell Number? *

Email *