Question

Name

qi_C1

Label

C1

Question Text

In the light of your clinical examination and the records you have seen, do you consider that there is evidence of any current hearing loss?

Instructions

Tick one box only

Usage

75 questions before...
(if necessary, please continue on page 11).

In the light of your clinical examination and the records you have seen, do you consider that there is evidence of any current hearing loss?

Tick one box only

1
YES, minimal: Unilateral
2
YES, minimal: Bilateral
3
YES, moderate: Unilateral
4
YES, moderate: Bilateral
5
YES, marked: Unilateral
6
YES, marked: Bilateral
7
NO
8
Uncertain
9
Not known

What is the probable cause?

Generic text
110 questions after...
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