Who are you looking for hearing aids for?
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For myself
For my parents
For my child
For my grandparents
Other
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Do you (or the affected person) already have a hearing aid?
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Yes
No
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Did a doctor recommend hearing aids? (It's not required for a hearing test)
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Yes
No
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Has a hearing test been completed?
Yes
No
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How soon do you expect or require hearing loss to be improved?
As soon as possible
Within the next few weeks
Within the next few months
I don't know
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How important is a discreet hearing aid design?
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Very important
Important
Not important
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Which hearing situations are difficult?
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One-on-one conversation
Group conversations
Conferences
Church / Concerts
Bars / Restaurants
Watching Television
Other
How much does hearing loss restrict daily life?
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Not at all
Barely
Severly
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Do you (or the affected person) have tinnitus? (Ringing in your ears)
Yes
No
Not sure
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What has prevented you from getting hearing aids sooner?
Not sure if they were needed
Affordability
Needed more information
Too busy / Not enough time
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To evaluate your best possible affordability plan, please select your income range:
Less than $20,000 a year
$20,001 - $50,000 a year
$50,001 - $100,000 a year
$100,001+ a year
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Preferred location
Athens, GA
Dawsonville, GA (North Georgia)
Kennesaw, GA (Cobb County)
Flowery Branch, GA
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First name
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Last name
Email
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