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|Significant Other Assessment of Communication||
The purpose of this scale is to identify the problems a hearing loss may be causing your Significant Other.
Please select the appropriate number ranging from 1 to 5 for the following questions.
If the patient has a hearing aid, please fill out the form according to how he/she communicates when the hearing aid is not in use.
* Reprinted with permission from Ventry, I. & Weinstein, B. The Hearing Handicap Inventory for the Elderly: A new tool. Ear Hear., 3, 128-134 (1982)