Lifestyle Checklist

1. In what situations do you feel you want/need better hearing?
   (check as many as apply)
2. Please determine the level of importance you hold for each item below
   (Choose the number corresponding to the level of importance based on the scale below.)
Not Important
Very Important
1
2
3
4
5
Invisibility*
(i.e. cannot see device at all)
Easy to use*
Minimal amount of
user maintenance required*
(i.e. changing batteries, making repairs)
Ability to wear in most situations*
(i.e. no need to remove device for activites
such as exercising, talking on the phone)
3. How often do you perform the following activities?