Hearing check survey 12 weeks Sharing your experience About this survey This is the second survey we’ve sent you since you took our online hearing check. In this survey we’re interested in what’s happened since getting your hearing check result and whether you’ve been able to access further support for your hearing. Some questions are repeated from our 6-week follow up survey, to see if there’s been any change. This survey also includes some optional questions to help us understand more about who’s using our hearing check. The survey is anonymous and should take less than 5 minutes to complete. Have you done any of these things since getting your hearing check result?Please tick all that apply. Had an in-person hearing test Taken another online hearing check Got more information about hearing loss Spoken to a friend or family member about my hearing Spoken to a GP or health professional about my hearing Tried to get a GP appointment None of the above Would you have done this if you hadn’t taken the online hearing check? Yes No Don’t know Which of these statements, if any, describe why you haven’t taken action on your hearing check result? I don’t think I have hearing loss I don’t think I need support with my hearing at the moment I plan to take action, I just haven’t done it yet I’m not sure what to do next Other Please specify What was the outcome of taking action on your hearing check result?Please tick all that apply I’ve had treatment for ear wax build up I’m waiting for treatment for ear wax build up I’m waiting for an audiology or ENT appointment A hearing health professional confirmed that I have hearing loss A hearing health professional confirmed that I don’t have hearing loss I’ve been fitted with hearing aid(s) I’m waiting to be fitted with hearing aid(s) Other Please specify Before taking the online hearing check, did you experience any of the following effects as a result of your hearing loss?A great dealA lotSomewhatA littleNot at allNot applicableI found it more difficult to get on with day-to-day lifeI felt more stressed, depressed or anxiousI felt more lonely or isolatedI was struggling at work or with looking for a jobI had difficulty socialisingI had difficulties in relationships and friendships As a result of taking the online hearing check and taking action on your hearing loss, have you experienced any of the following effects?A great dealA lotSomewhatA littleNot at allNot applicableI’m finding it easier to get on with my day-to-day lifeI feel less stressed, depressed or anxiousI feel less lonely or isolatedI’m finding it easier to do my job or find a jobI’m finding it easier to socialiseI have better relationships and friendships Have there been any other benefits of taking action on your hearing loss? Have you experienced any delays or difficulties with getting your hearing tested by a hearing health professional? Yes No Don’t know What kind of delays or difficulties did you experience with getting your hearing tested?Please select all that apply I’ve had difficulty getting a GP appointment I’ve had to wait a long time to see a GP My GP didn’t refer me for a hearing test I’ve had difficulty getting treatment for ear wax build up I’ve had to wait a long time to see a hearing health professional Other Please specify Have you paid for a hearing test or any private treatment for your hearing? Yes No Don’t know Do you have any feedback on your experience of getting support for your hearing? Are you happy for your feedback to be included in our marketing materials?* Yes No