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* 1. Are you...

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* 2. How old are you?

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* 3. How would you best describe your hearing?

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* 4. Do you often feel that speech is mumbled/unclear whilst in one-to-one conversation?

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* 5. Do you often have trouble understanding a conversation when there is background noise or other people talking at the same time?

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* 6. During conversations in built-up environments (i.e. at work, in the car, in a busy street or any other noisy place) do you often misunderstand what is being said?

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* 7. Have you ever had to ask someone to repeat what they've said?

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* 8. Have you ever found it difficult to localise the source of speech in background noise?

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* 9. Do you currently own any form of assistive listening device (ALD) and/or received any previous medical treatment?

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* 10. There are lots of different assistive listening devices (ALDs) available on the market in aid to improve your current state of hearing.

If made accessible to you, which of the following affordable options would you benefit from/most likely use?

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