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Hearing Handicap Inventory For Adults (HHIA)

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Northwestern University Audiology Clinic2240 Campus DriveEvanston, IL 60208Phone: (847) 491-3165 Fax: (847) 467-0410HEARING HANDICAP INVENTORY FOR ADULTS (<strong>HHIA</strong>)NAME:DATE:INSTRUCTIONS: The purpose of the scale is to identify the problems your hearing loss may becausing you. Check YES, SOMETIMES, or NO for each question. DO NOT skip a question if youavoid a situation because of your hearing problem. If you use a hearing aid, please answer the wayyou hear WITHOUT your aid.S-1.E-2.S-3.E-4.E-5.S-6.S-7.E-8.S-9.E-10.S-11.E-12.S-13.E-14.S-15.S-16.E-17.E-18.Does a hearing problem cause you to use the phone less often thanyou would like?Does a hearing problem cause you to feel embarrassed whenmeeting new people?Does a hearing problem cause you to avoid groups of people?Does a hearing problem make you irritable?Does a hearing problem cause you to feel frustrated when talking tomembers of your family?Does a hearing problem cause you difficulty when attending a party?Does a hearing problem cause you difficulty hearing/understandingcoworkers, clients, or customers?Do you feel handicapped by a hearing problem?Does a hearing problem cause you difficulty when visiting friends,relatives, or neighbors?Does a hearing problem cause you to feel frustrated when talking tocoworkers, clients or customers?Does a hearing problem cause you difficulty in the movies or theater?Does a hearing problem cause you to be nervous?Does a hearing problem cause you to visit friends, relatives, orneighbors less often than you would like?Does a hearing problem cause you to have arguments with familymembers?Does a hearing problem cause you difficulty when listening to TV orradio?Does a hearing problem cause you to go shopping less often than youwould like?Does any problem or difficulty with your hearing upset you at all?Does a hearing problem cause you to want to be by yourself?YES(4)SOME-TIMES(2)NO(0)


S-19.E-20.S-21.E-22.S-23.E-24.E-25.Does a hearing problem cause you to talk to family members lessoften than you would like?Do you feel that any difficulty with your hearing limits or hampers yourpersonal or social life?Does a hearing problem cause you difficulty when in a restaurant withrelatives or friends?Does a hearing problem cause you to feel depressed?Does a hearing problem cause you to listen to TV or the radio lessoften than you would like?Does a hearing problem cause you to feel uncomfortable when talkingto friends?Does a hearing problem cause you to feel left out when you are with agroup of people?YES(4)SOME-TIMES(2)NO(0)NO = 0 points Sometimes = 2 points YES = 4 pointsTotal # of points / 100Total # of points for SOCIAL / 48 =Total # of points for EMOTIONAL / 52 =0 (no handicap) to 100 (total handicap)0-16% = No handicap18-42% = Mild-Moderate <strong>Handicap</strong>44%+ = Significant <strong>Handicap</strong>Adapted from Newman, C.W., Weinstein, B.E., Jacobson, G.P. and Hug, G.A., Test-retest reliability of the <strong>Hearing</strong><strong>Handicap</strong> <strong>Inventory</strong> for <strong>Adults</strong>, Ear Hear., 12, 355-357 (1991)

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