Pure Tone Audiometry Test Promo

PATIENT HEARING CHECKLIST
Please check all items that apply to you:

____ I hear much better in one ear than in the other ear.
____ In the last 6 months, I suddenly cannot hear out of one or both ears as well as I used to.
____ I have ringing, roaring, or beeping in one or both of my ears.
____ I have a history of taking medication that causes hearing loss.
____ I have a history of chemotherapy and/or radiation in the head and neck region.
____ I experience dizziness.

Reflect on your hearing in quiet and noisy environments, and check the column that best describes you:

This Best Describes Me	Quiet Environments	Noisy Environments
	I have good to excellent hearing.	I have good hearing; I rarely have difficulty following/participating in a conversation.
	I do not have problems hearing what people say.	I may have difficulty following/ participating in a conversation.
	I have difficulty hearing a normal voice	I have difficulty hearing and participating in a conversation.
	I can hear speech if it is loud speech.	I have great difficulty hearing and participating in a conversation.
	I can hear loud speech if it is directly in my ear.	I have great difficulty hearing and participating in a conversation.
	I have great difficulty hearing	I cannot hear any speech.
	I cannot hear any speech or loud sound.	I cannot hear any speech or sound.

AVAIL OF OUR PURE TONE AUDIOMETRY TEST PROMO
AND GET UP TO 25% OFF!
March 14 – March 31, 2023

Promo Mechanics:

1. 1. Patients must pre-register and visit during the specified time period of 8:00AM – 10:00AM every Friday, from March 14 – 31, 2023.
2. 2. This promotion is exclusively available for adults aged 40 to 59.
3. 3. The doctor’s fee is not included in the discounted price.
4. 4. In the purchase of goods and services which are on promotional discount, the senior citizen can avail of the promotional discount or the discount provided under the Expanded Senior Citizens Act 2010, whichever is higher.

Per DTI Fair Trade Permit No. FTEB XXXX Series of 2023