Five Minute Hearing Test

I have a problem hearing over the telephone

I have trouble following the conversation when two or more people are talking at the same time

People complain that I turn the TV volume too high

I have to strain to understand conversations

I miss hearing some common sounds like the phone or the doorbell ringing

I have trouble hearing conversations in a noisy background such as a party

I get confused about where sounds come from

I misunderstand some words in a sentence and need to ask people to repeat themselves

I especially have trouble understanding the speech of women and children

I have worked in noisy environments (assembly lines, jackhammers, jet engines, etc.)

I hear fine – if people just speak clearly

People get annoyed because I misunderstand what they say

I misunderstand what others are saying and make inappropriate responses

I avoid social activities because I cannot hear well and fear I will make improper replies

A family member or friend has suggested that maybe I have a hearing problem

Total Points: 0

Note: If you scored 10 or more points, you should have your hearing tested

Choose Your Phone *

Do you have a landline phone? *

Do you have a cell phone? *

Language *

I am: *

Birth Date *

First Name *

Last Name *

Phone Number *

Email *

Street Address *

City in Florida *

Zip Code *

How did you hear about us? *

Do you wear hearing aids? *

Florida Residency Identification Type? *

Residency Identification Number *

How can we help you? *

** Requires additional information to be submitted during the application process.
You will be asked for additional information including proof of residency and hearing loss.

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*Information will be used by FTRI to help in servicing, communicating, and expediting request processing. User information is confidential and secure.

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Customer Care: 1-800-222-3448

Whether your hearing loss is mild, moderate or severe, FTRI has a variety of phones to accommodate your needs.

Phones and amplifiers are available to Florida residents over the age of 3.

Go ahead, get the FREE amplified phone that's right for you!

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Customer Care: 1-800-222-3448