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Please answer the following questions, then go on to the questions about your hearing

Speech Spatial Qualities -C. Advice about answering the questions. Please answer the following questions, then go on to the questions about your hearing.

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Please answer the following questions, then go on to the questions about your hearing

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  1. Speech Spatial Qualities -C Advice about answering the questions Please answer the following questions, then go on to the questions about your hearing • The following questions inquire about aspects of your ability and experience hearing and listening in different situations. You answered these questions before, after you had worn the previous hearing aid for a while (or aids, if you have been fitted with two hearing aids). • We would like you to answer the same questions, but comparing your ability and experience now, using the hearing aid/s you are currently wearing, with your ability and experience using the previous aid/s. • For each question, put a mark, such as a cross (x), anywhere on the scale that runs from -5 through 0 to +5, shown against each question . • If you are doing better now, with the current hearing aid/s compared with the previous ones, in the situation described in a particular question, then put the mark somewhere to the right of the 0 point on the scale. • If you are doing worse, then put the mark somewhere to the left of the 0. • If things are no different, put the mark at around the 0 point. • If things are much worse mark the scale at around -5; if things are much better mark it around +5. • We expect that all the questions are relevant to your everyday experience, but if a question describes a situation that does not apply to you, put a cross in the “not applicable” box. Please also write a note next to that question explaining why it does not apply in your case. Your name : Today’s date : Your age: Please check one of these options: I use one hearing aid (leftear ) I use one hearing aid (rightear) I use two hearing aids (bothears) SSQ-C 5.6 page 1

  2. Speech Spatial Qualities -C (Part 1: Speech hearing) Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Much worse Unchanged Much better Much worse Much better Unchanged Much worse Unchanged Much better Unchanged Much worse Much better Not applicable Not applicable Not applicable Not applicable Not applicable +4 +5 +3 +4 +5 -4 -3 -2 -1 0 +1 +2 -5 +2 +3 -4 -3 -2 -1 0 +1 -5 -4 -3 -2 -1 0 +1 +3 +4 +5 +4 -5 +2 -4 -3 -2 -1 0 +1 +1 +3 +5 -5 +2 +4 +5 -4 -3 -2 -1 0 +3 -5 +2 SSQ-C 5.6 page 2

  3. Speech Spatial Qualities -C (Part 1: Speech hearing, continued) Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Much worse Unchanged Much better Unchanged Unchanged Much worse Much worse Much better Much better Much worse Unchanged Much better Not applicable Not applicable Not applicable Not applicable Not applicable +4 +3 +5 +2 -5 -4 -3 -2 -1 0 +1 +4 +5 +2 +3 -4 -3 -2 -1 0 +1 -5 +3 -4 -4 -3 -3 -2 -2 -1 -1 0 0 +1 +1 +3 -5 -5 +2 +2 +4 +5 +4 +5 +2 -4 -3 -2 -1 0 +1 -5 +4 +5 +3 SSQ-C 5.6 page 3

  4. Speech Spatial Qualities -C (Part 1: Speech hearing, continued) Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Much worse Much worse Much worse Unchanged Unchanged Unchanged Much better Much better Much better Not applicable Not applicable Not applicable Not applicable -5 +2 +3 +3 +2 +2 +4 +5 +5 +4 +5 -4 -4 -4 -3 -3 -3 -2 -2 -2 -1 -1 -1 0 0 0 +1 +1 +1 +3 -5 -5 -5 +4 +3 -4 -3 -2 -1 0 +1 +2 +4 +5 SSQ-C 5.6 page 4

  5. Speech Spatial Qualities -C (Part 2: Spatial hearing) Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Much worse Unchanged Much better Much worse Much better Unchanged Unchanged Much worse Much better Much worse Unchanged Much better Not applicable Not applicable Not applicable Not applicable Not applicable -5 -5 -4 -3 -2 -1 0 +1 +2 +4 +5 +3 +3 +4 +2 +5 -5 +3 -4 -3 -2 -1 0 +1 -4 -3 -2 -1 0 +1 +2 +4 -5 +5 -4 -3 -2 -1 0 +1 -5 +2 +3 +4 +5 +2 +4 +5 +3 -4 -3 -2 -1 0 +1 SSQ-C 5.6 page 5

  6. Speech Spatial Qualities -C (Part 2: Spatial hearing, continued) Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Unchanged Much worse Much better Unchanged Much worse Much better Much worse Unchanged Much better Much worse Unchanged Much better Not applicable Not applicable Not applicable Not applicable Not applicable -4 -3 -2 -1 0 +1 +2 -5 +3 +4 +5 +5 +2 +4 -4 -3 -2 -1 0 +1 +3 +5 -5 -4 -3 -2 -1 0 +1 +4 -5 +2 +3 +4 +3 +4 +5 +5 -4 -3 -2 -1 0 +1 +2 -5 +2 +3 -4 -3 -2 -1 0 +1 -5 SSQ-C 5.6 page 6

  7. Speech Spatial Qualities -C (Part 2: Spatial hearing, continued) Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Unchanged Much worse Much better More inside head Unchanged More out there Much closer Unchanged Less close Much worse Unchanged Much better Not applicable Not applicable Not applicable Not applicable Not applicable -5 -4 -3 -2 -1 0 +1 +4 +5 +3 +2 +3 +4 +5 +2 -4 -3 -2 -1 0 +1 -5 +3 -4 -3 -2 -1 0 +1 +4 +5 -5 +2 +2 -4 -3 -2 -1 0 -5 +3 -4 -3 -2 -1 0 +1 +1 +4 +5 -5 +2 +4 +5 +3 SSQ-C 5.6 page 7

  8. Speech Spatial Qualities -C (Part 2: Spatial hearing, continued) Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Much further Unchanged Less far Much worse impression Unchanged Much better impression Not applicable Not applicable -5 -4 -3 -2 -1 0 +1 +2 +3 -4 -3 -2 -1 0 +1 -5 +4 +5 +2 +3 +4 +5 SSQ-C 5.6 page 8

  9. Speech Spatial Qualities -C (Part 3: Qualities of hearing) Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Unchanged More jumbled Less jumbled Less separate Unchanged More separate Much worse Unchanged Much better Unchanged Much worse Much better Less separate Unchanged More separate Not applicable Not applicable Not applicable Not applicable Not applicable -5 -4 -3 -2 -1 0 +1 +4 +5 +2 +3 +5 -4 -3 -2 -1 0 +1 +3 +4 -5 +2 +4 +5 -4 -3 -2 -1 0 +1 +2 -5 -4 -3 -2 -1 0 +1 +3 -5 -4 -3 -2 -1 0 +1 -5 +2 +3 +2 +4 +5 +4 +3 +5 SSQ-C 5.6 page 9

  10. Speech Spatial Qualities -C (Part 3: Qualities of hearing, continued) Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Less clear and natural Unchanged More clear and natural Less clear Unchanged More clear Unchanged Less clear and natural More clear and natural Much worse Unchanged Much better Not applicable Not applicable Not applicable Not applicable Not applicable -5 -4 -3 -2 -1 0 +1 +2 +3 +4 +5 -4 -3 -2 -1 0 +1 -5 +2 +3 +4 +5 +5 -4 -3 -2 -1 0 +1 +3 +4 -5 +2 +4 +5 -4 -3 -2 -1 0 +1 +2 -5 -4 -3 -2 -1 0 +1 +3 -5 +2 +4 +3 +5 SSQ-C 5.6 page 10

  11. Speech Spatial Qualities -C (Part 3: Qualities of hearing, continued) Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your experience now with your experience wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Less natural Unchanged More natural Much worse Unchanged Much better More need to concentrate Unchanged Less need to concentrate Unchanged More effort Less effort Less natural Unchanged More natural Not applicable Not applicable Not applicable Not applicable Not applicable -4 -3 -2 -1 0 +1 +5 -5 +2 +3 +4 +5 -4 -3 -2 -1 0 +1 +3 +4 -5 +2 +4 +5 -4 -3 -2 -1 0 +1 +2 -5 +3 -4 -3 -2 -1 0 +1 +3 +5 -5 -5 -4 -3 -2 -1 0 +1 +2 +4 +2 +3 +4 +5 SSQ-C 5.6 page 11

  12. Speech Spatial Qualities -C (Part 3: Qualities of hearing, continued) Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Comparing your ability now with your ability wearing the previous hearing aid/s Much worse Unchanged Much better Much worse Unchanged Much better Much worse Unchanged Much better Not applicable Not applicable Not applicable -5 -4 -3 -2 -1 0 +1 +2 +3 +5 +4 +2 +3 +4 +5 -5 -4 -3 -2 -1 0 +1 +2 +3 +5 +4 -5 -4 -3 -2 -1 0 +1 SSQ-C 5.6 page 12

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