Hearing Aid Compatibility Survey

Hearing Aid Compatibility Questions

1. What is your hearing status?

Hard of hearing
Late-deafened
Deaf (primarily use sign language to communicate)
Deaf (oral – primarily use voice to communicate)
Other (please specify)

2. What degree of hearing loss do you have?

3. What kind of hearing technology do you use?

4. Do you currently use a cell phone?

Yes
No (If no, please skip to Contact Information)

4a. Please provide the following information about your cell phone, if possible

Phone Brand
Phone Model
Service Provider
Purchase Date

5. Can you use your current cell phone while using your hearing aid or other hearing technology (i.e. cochlear implant)?

Yes
No
Not sure
N/A

6. What, if any, assistive technology do you use to make your cell phone hearing aid compatible?
(select all that apply)

7. How difficult was it to find a phone that works with your hearing aid or other hearing technology (i.e. cochlear implant)?

8. How satisfied are you with your phone?
(i.e. clarity is good, you can hear and understand the person on the other end; volume is loud enough, etc)

9. How did you find your phone?
(select all that apply)

Recommendation (from friend, family member, audiologist, etc)
Package label (microphone vs. telecoil compatible, etc )
Sales person
Researched online
Other (please specify)

10. Have you changed phones during the last year?

Yes
No (If no, please skip to Additional Comments )

11. Why did you choose to change phones during the last year?

12. Additional Comments:

Thank you so much for contributing to our research efforts by taking the time to complete this survey! If you have updated contact information to share, please enter it below. We will contact you when the results of the survey are published.

Contact Information

Name:
Email address: