- adult hearing screen forms

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adult hearing screen forms


Screening Unit/Examiner. ______ _. __ Calibration Date ______. CASE HISTORY—CIRCLE APPROPRIATE ANSWERS. Do you think you have a hearing loss.

Considerations in screening adults/older persons for handicapping hearing and disability are summarized on the Adult Hearing Screening Form (Appendix.

Conventional Pure Tone Audiology Screening. .. During the training session, familiarize volunteers with the equipment, screening forms, and procedures.

Hearing Criteria: Puretone Audiometry-Tympanometry. A student fails the screening test if he/she does not respond to any one tone (frequency) at 20db hearing.