Hearing Assistance Survey
Do you currently wear hearing aids? Help us improve our options for hearing assistance in worship. Please fill out this form and click submit.
What brand and model of hearing aid do you wear?
Do your hearing aids have t-coil capacity?
Please select one option.
Yes
No
Can you control your hearing aids from your smartphone?
Please select one option.
Yes
No
How well can you currently hear in the service?
Please select one option.
I can hear everything
I feel like I miss some things
It’s hard to catch anything
Select Option
I can hear everything
I feel like I miss some things
It’s hard to catch anything
Add any additional comments here.
Name (optional)
Submit
Description
Do you currently wear hearing aids? Help us improve our options for hearing assistance in worship. Please fill out this form and click submit.
×
Please Fix the Following