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Table 7. Validated Questions for Assessing Hearing Difficulty
by Caregiver Report*
Question Degree of a problem Pass Fail
How much of a problem over
the past 4 weeks has your child
had with hearing difficulties,
asking questions to be repeated,
saying "what" frequently, or
needing the television excessively
loud?
1. Not present/none
2. Hardly at all
3. Somewhat
4. Moderate
5. Quite a bit
6. Very much
7. Extreme
1 or 2 3, 4, 5, 6,
or 7
How much of a problem over
the past 4 weeks has your child
had with speech delay, poor
pronunciation, speech that
is difficult to understand, or
inability to repeat words clearly?
1. Not present/none
2. Hardly at all
3. Somewhat
4. Moderate
5. Quite a bit
6. Very much
7. Extreme
1 or 2 3, 4, 5, 6,
or 7
*Adapted from Rosenfeld RM, Goldsmith AJ, Tetlus L, Balzano A. Quality of life for children with
otitis media. Arch Otolaryngol Head Neck Surg. 1997;123(10):1049-1054.
