Audiometry
Respondent sequence number
General condition of hearing
Ever had 3 or more ear infections?
Ever had tube placed in ear?
Last time had hearing tested
Ever worn a hearing aid
Worn hearing aid 5 hours a week?
Ever used assistive listening devices?
Ears ringing, roaring, buzzing past year
How long bothered by ringing, roaring
Bothered by ringing after loud sounds?
Bothered by ringing when going to sleep
How much of a problem is ringing?
Ever used firearms?
Ever had job exposure to loud noise?
Ever had non-job exposure to loud noise?
How often wear hearing protection?