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• 1. Who are you looking for hearing aids for?*
  • For myself
  • For my parents
  • For my child
  • For my grandparents
• 2. Do you (or the affected person) already have a hearing aid?*
  • Yes
  • No
• 3. Did a doctor recommend hearing aids? (It's not required for a hearing test)*
  • Yes
  • No
• 4. Has a hearing test been completed?
  • Yes
  • No

• 5. 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
• 6. How important is a discreet hearing aid design?*
  • Very Important
  • Important
  • Unimportant

• 7. Which hearing situations are difficult?*
  • One-on-one conversations
  • Group conversations
  • Restaurants / Bars
  • Conferences
  • Church / Concerts
  • Watching television
• 8. How much does hearing loss restrict daily life?*
  • Not at all
  • Barely
  • Severly
• 9. Do you (or the affected person) have tinnitus? (Ringing in your ears)
  • Yes
  • No
  • Not Sure

• 10. What has prevented you from getting hearing aids sooner?
  • Not sure if they were needed
  • Affordability
  • Needed more information
  • Too busy / Not enough time
• 11. 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

• 12. Which location would you like to visit?
  • Athens, GA
  • Dawsonville, GA (North Georgia)
  • Kennesaw, GA (Cobb County)

• • Contact Us

  • First Name*
  • Last Name*
  • Phone Number*
  • Email Address*
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Read reviews from real patients and Georgians who have been helped by our expert team members and hearing aid technology!