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Why Ashland ENT?

Why Ashland ENT?
Testimonials
Meet the Team

(419) 289-8919

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Why Ashland ENT?
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Hearing Questionnaire

Your answers to these questions can help us determine if you should take a hearing test. Select the choice for each question that fits your lifestyle.

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Name: * This field is required

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I need to communicate with many people throughout the day. *

Never

Rarely

Occasionally

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Constantly

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I spend time at outdoor activities like sporting events, concerts, or on the golf course where I hear speech in different directions and in wind. *

Never

Rarely

Occasionally

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Daily

Constantly

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I attend parties, go to restaurants, or participate in social activities such as card games with friends. *

Never

Rarely

Occasionally

Weekly

Daily

Constantly

This field is required

I go shopping or spend time in public places where being able to communicate is very important. *

Never

Rarely

Occasionally

Weekly

Daily

Constantly

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I am involved in gatherings where I need to be able to hear in background noise. *

Never

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Occasionally

Weekly

Daily

Constantly

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Great doc!! Did such a wonderful job with my kiddos.

Carolyn Miller

Ashland ENT
2212 Mifflin Avenue Suite 130
Ashland, Ohio 44805
Phone: (419) 289-8919
Fax: (419) 289-9563
Hearing Center: (419) 289-1937

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