Thank you for the confidence you have demonstrated in our clinic by making an appointment to see us.
The aim of this intake form is to help us gain a clearer picture of your hearing and listening needs and to focus your thoughts on areas that cause you difficulty currently and the main improvements you wish to achieve.
Our treatment requires no written contracts to be signed, however it does rely upon honesty, cooperation and commitment. For this reason we ask you to take care in filling out the questionnaire. Your thoroughness guarantees a more accurate assessment and a more effective outcome for yourself..
In finishing, we look forward to your visit and hope that thinking about your current situation and areas you would like to improve prepares you for the experience.