Name: Athens Hearing Aid Factory Outlet
Address: 3700 Atlanta Hwy #61, Athens, GA, 30606
Telephone: (706) 888-6921
Price range: Call for Pricing

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

10. What has prevented you from getting hearing aids sooner?
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:
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?
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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