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Hearing Handicap Inventory - Screening Version (HHIE-S) : Instructions

This document contains instructions and questions for the Hearing Handicap Inventory - Screening Version (HHIE-S) assessment. The HHIE-S contains 10 questions to assess the social and emotional effects of hearing loss. Patients respond "yes", "sometimes", or "no" to questions about how hearing problems impact their daily life and interactions. Areas addressed include embarrassment, frustration, ability to hear whispers or conversations, feeling handicapped, ability to visit with others, attending religious services, arguments, listening to TV/radio, and difficulty in restaurants. Scores are totaled to determine the level of hearing handicap as none, moderate, or referral needed.

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YERLY ISABEL PINOCHET CARMONA
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215 views

Hearing Handicap Inventory - Screening Version (HHIE-S) : Instructions

This document contains instructions and questions for the Hearing Handicap Inventory - Screening Version (HHIE-S) assessment. The HHIE-S contains 10 questions to assess the social and emotional effects of hearing loss. Patients respond "yes", "sometimes", or "no" to questions about how hearing problems impact their daily life and interactions. Areas addressed include embarrassment, frustration, ability to hear whispers or conversations, feeling handicapped, ability to visit with others, attending religious services, arguments, listening to TV/radio, and difficulty in restaurants. Scores are totaled to determine the level of hearing handicap as none, moderate, or referral needed.

Uploaded by

YERLY ISABEL PINOCHET CARMONA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Hearing Handicap Inventory – Screening Version (HHIE-S)

Instructions:
Please circle YES, SOMETIMES, or NO to each of the following items. Do not skip a question if you
avoid a situation because of a hearing problem. If you use a hearing aid, please answer the way
you hear without the aid.

E-1. Does a hearing problem cause you to feel embarrassed when YES SOMETIMES NO
meeting new people?

E-2. Does a hearing problem cause you to feel frustrated when YES SOMETIMES NO
talking to members of your family?

S-3. Do you have difficulty hearing when someone speaks in a YES SOMETIMES NO
whisper?

E-4. Do you feel handicapped by a hearing problem? YES SOMETIMES NO

S-5. Does a hearing problem cause you difficulty when visiting YES SOMETIMES NO
friends, relatives or neighbors?

S-6. Does a hearing problem cause you to attend religious services YES SOMETIMES NO
less often than you would like?

E-7. Does a hearing problem cause you to have arguments with YES SOMETIMES NO
family members?

S-8. Does a hearing problem cause you difficulty when listening to YES SOMETIMES NO
TV or radio?

E-9. Do you feel that any difficulty with your hearing limits or YES SOMETIMES NO
hampers your personal or social life?

S-10. Does a hearing problem cause you difficulty when in a YES SOMETIMES NO
restaurant with relatives or friends?

For Audiologist Use Only: TOTAL SCORE: _________

SUBTOTAL E: _________

SUBTOTAL S: _________

0-8 NO REFERRAL
10-24 MODERATE HANDICAP
26-40 REFER
PATIENT QUESTIONARE
What brought you to our office today? ___________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

What is your experience with hearing aids? (check all that apply)

I have never visited with an Audiologist to inquire about Hearing Aids.

I have visited with an Audiologist to gather information regarding my hearing difficulties, but I
have not tried or purchased.

I have tried hearing aids but returned the instruments.

I have hearing aids but only wear it occasionally or not at all.

I have a hearing aid and wear it regularly on the left ear, right ear.

Please rank the following in terms of their importance in a hearing aid. (1 through 4, with 1 being the most
important):

Overall Sound Quality Reliability Style/Appearance Cost

On a scale of 1-10, how motivated are you regarding doing something about your hearing loss?
(Please circle one)

1 2 3 4 5 6 7 8 9 10
Not Somewhat Very Extremely
Motivated Motivated Motivated Motivated Motivated

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