1. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
During the past month, how often has a friend or family member accused you of not listening?
Never
Once or twice
Several times
Many times
All the time
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2. Awareness Raising Self-monitoring: Never Once or twice Several times
Many times
All the time

3. How often do you find yourself intently watching the speaker’s mouth?
Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
How often do you find yourself intently watching the speaker’s mouth?
I have to read his lips to see what he’s saying.
Never
Seldom
Sometimes
Most of the time
All of the time
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4. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
How often do family members complain that you turn up the TV or radio much too loud?
Never
Seldom
Sometimes
Most of the time
All of the time
What? It’s not too loud!
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5. How often do you have difficulty with hearing alarm signals?
Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
How often do you have difficulty with hearing alarm signals?
What’s going on? Why is he covering his ears?
Never
Seldom
Sometimes
Most of the time
All of the time
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6. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
How often do you have difficulty with hearing a voice from another room?
What are you saying? Would you come to this room and repeat that?
Never
Seldom
Sometimes
Most of the time
All of the time
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7. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
How often do you have difficulty with hearing during conversations in a moving car?
Never
Seldom
Sometimes
Most of the time
All of the time
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8. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
How often do you have difficulty with hearing during family dinners at holidays?
Never
Seldom
Sometimes
Most of the time
All of the time
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9. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
During the past month, how often have you heard a person’s voice, but it sounded completely like gibberish?
That sounded like plain gibberish to me.
Never
Once or twice
Several times
Many times
All the time
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10. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
During the past month, how often did you understand only part of what someone said?
I got the first half of what you said but not the other half.
Never
Once or twice
Several times
Many times
All the time
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11. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
During the past month, how often did you find out someone was talking to you but did not realize it?
Who is he talking to?
STOP!
Never
Once or twice
Several times
Many times
All the time
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12. I am not so tired anymore
Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
I am not so tired anymore
These hearing aids are great, I don’t have to work to hear anymore
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13. Post-Fitting
Self-Monitoring

14. Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
I can actually hear….
I am reclaiming my social life!!!
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15. I am so much more relaxed…..
Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
I am so much more relaxed…..
It is so wonderful now that I am not struggling to hear anymore!!!
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16. I can hear what is going on….
Patricia B. Kricos, Ph.D., NDSLHA, October 21-22, 2004
I can hear what is going on….
It is sooo great not to have to pretend that I can hear
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