Hearing Loss Evaluation
What a hearing loss evaluation asks, with sample questions on hearing, ear symptoms, noise, and hearing aids.
This page covers the intake questions for a hearing loss evaluation: hearing concerns, ear symptoms, noise exposure, ear history, and medical history. The intake part is also called an audiology case history.
Hearing loss evaluation, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a hearing loss evaluation in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample hearing loss evaluation questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Is your hearing worse in one ear?Hearing concerns
- Did the change come on gradually or suddenly?Hearing concerns
- Do you hear ringing or buzzing in your ears?Ear symptoms
- Have you had ear pain or drainage?Ear symptoms
- Have you had your hearing tested before?Ear history
- Have you had ear infections or ear surgery?Ear history
- Have you worked around loud noise?Noise exposure
- Have you used firearms or loud power tools?Noise exposure
- Have you ever had a head injury?Medical history
- Does anyone in your family have hearing loss?Medical history
- Do you wear hearing aids now?Hearing aids
- Where would you like to hear better?Hearing aids
These are examples to read, not a form to fill in.
Hearing loss evaluation: FAQ
What does a hearing loss evaluation ask?
The sample questions on this page are based on three hearing case history forms. They come from the UNCG Speech and Hearing Center, Main Line Health, and Memorial Health System. This page groups them into six areas: hearing concerns, ear symptoms, ear history, noise exposure, medical history, and hearing aids.
Who answers the hearing loss evaluation questions, and when?
The patient, before the hearing visit. Each practice decides whether the questions go out ahead of time or are asked at check-in.
Is it the same as an audiology case history?
Yes, for the intake part. The UNCG form, titled Adult Audiological Case History, asks about the hearing problem, ear symptoms, noise, medical history, and hearing aids.
What do the forms ask about noise?
All three source forms ask about it. The Memorial Health System questionnaire covers noisy jobs, gunfire, military service, noisy hobbies, and hearing protection.
Is there a hearing loss evaluation template?
The sample questions on this page show a typical set. A practice can adapt them to its own audiology or ENT intake form.
Does it ask about hearing aids?
Yes. The UNCG form asks about hearing aid history and where the patient would like to hear better. The Main Line Health form asks whether the patient has ever worn hearing aids.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
