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P O BOX 816, BANBURY

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‭0330 230 3333‬

info@affordable-hearing.co.uk

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Patient Questions

Affordable Hearing  >  Patient Questions

Thank you so much for your Affordable Hearing purchase.  If you are buying hearing aids (not accessories) it would help for you to send us a bit more information.  It’s super simple, just follow the steps on the form below.   Please include as much information as you can.

In order to get the best fit for your hearing aids it would also really help for you to send us a picture of your ear.  There’s simple instructions and a box to drag your image into at the end of the form.

We’ve tried to make it as simple as we can (although, we’re always happy to receive suggestions if you think we can improve on it!).  If it is easier and you would rather, call us on 0330 230 3333 and we can take all the details down for you.

Name
Address
Do you already wear hearing aids?
Has your hearing got much worse recently?
Has your hearing got worse over a short period of time?
Is your hearing loss only or much worse on one side?
If it is on one side, has this been investigated?
Have you had a general ear health check recently?
Have you had your ears checked for wax buildup recently?
Have you had previous ear surgery?
Have you had any recent ear pain?
Do you still have ear pain?
Has it been treated?
Was the treatment successful
Have you had any recent ear infections?
Has it been treated?
Was the treatment successful?
Have you had any recent ear/head trauma which may affect your hearing?
If yes, has this been investigated?
If yes, has this been treated?
Was the treatment successful?
Do you suffer from any ringing or noises in your head or ears (tinnitus)?
If yes, is it only or more on one side than the other?
If yes, is it always the same?
Does it change in volume?
Does the sound of it change?
Does it pulse or beat?
Have you noticed any of the below:
Do you have any medical conditions that affect your hearing?
Including:
Do you take any regular medication that may affect your hearing?
Please tell us a bit more about when and how you most need your hearing aids to help you. For example when you find particularly difficult to hear and communicate such as:
Do you have any leisure/activities that we may need to take into consideration such as:

Please send us a picture of your ear (as per this example).  The image needs to show the top of your ear where a pair of glasses would sit and the entrance to your ear canal, with a measure in the same image.  As a tip, if you don't have a ruler, you can always place a standard sized bank card on your cheek.  We can work out the measurement from this too.

For more guidance please see attached short instructional video HERE. Or if you have any questions, please do call us on 0330 230 3333 and we can arrange to help you via a video call.

Drag & Drop Files, Choose Files to Upload
Please add your ear image here:
Drag & Drop Files, Choose Files to Upload
Thank you so much for completing the form. Please could you add a copy of your audiogram here or email it to: info@affordable-hearing.co.uk (please add your full name and Date of Birth). Or call us on 0330 230 3333.

These questions will help us tailor your hearing aids for you.  They are not a replacement for an in-person appointment with an HCPC registered audiologist.

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