Select Province *

Gauteng

Western Cape

KwaZulu Natal

Free State

Eastern Cape

Mpumalanga

Limpopo

Northern Cape

North West

For whom are you enquiring about hearing aids? *

Myself

Someone else

Do you have hearing aids? *

Yes

No

Do they have hearing aids? *

Yes

No

How old are your hearing aids? *

2 years old or less

3 years old

4 years old

5 years old or more

How old are their hearing aids? *

2 years old or less

3 years old

4 years old

5 years old or more

Has a hearing test been performed? *

Yes

No

What prevented you from getting a hearing aid sooner? *

Not sure if I need them

I can't afford them

I need more information

I've been too busy

What prevented them from getting a hearing aid sooner? *

Not sure if they need them

They can't afford them

They need more information

They've been too busy

Are you currently looking for a hearing aid? *

Yes

No

Are they currently looking for a hearing aid? *

Yes

No

How much does their hearing loss restrict them in their daily life? *

Not at all

Barely

Moderately

Severely

How much does your hearing loss restrict you in your daily life? *

Not at all

Barely

Moderately

Severely

In what type of situation do you experience difficulties? *

One-on-one conversations

Group conversations

Restuarant/Bar

Church/Events

In what type of situation do they experience difficulties? *

One-on-one conversations

Group conversations

Restuarant/Bar

Church/Events

How important is a discreet design for you? *

Unimportant

Important

Very Important

How important is a discreet design for them? *

Unimportant

Important

Very Important

Do you have ringing in your ears (tinnitus)? *

Yes

No

Do you know if they have ringing in their ears (tinnitus)? *

Yes

No

When do you want to improve your hearing? *

As soon as possibls

Within the next few weeks

Within the next few months

I don't know

When do they want to improve their hearing? *

As soon as possible

Within the next few weeks

Within the next few months

I don't know

What is your current employment status? *

Employed/Self-employed

Unemployed

Retired

Homemaker

What is their current employment status? *

Employed/Self-employed

Unemployed

Retired

Homemaker

Do you have medical aid with hearing benefit? *

Yes

No

Not sure

Do they have medical aid with hearing benefit? *

Yes

No

Not sure

What medical aid scheme are you a member of? *

Discovery

GEMS

Bonitas

Sizwe

PolMed

Other

What medical aid scheme are they a member of? *

Discovery

GEMS

Bonitas

Sizwe

PolMed

Other

Modern hearing aids with premium hearing care start from R25,000 for a pair. Are you willing to invest to improve your hearing and quality of life? *

Yes, let's go!

No

Not sure

Yes if I can pay it off

Modern hearing aids with premium hearing care start from R22,000 for a pair. Are they willing to invest to improve their hearing and quality of life? *

Yes, let's go!

No

Not sure

Yes if I can pay it off

How old are you? *

Please enter your postal code: *

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