About BHI
Hearing Loss
Hearing Solutions
Hearing Loss Prevention
- Prevention Detail
- Noise Thermometer
Resources
Publications
Blog
Home
Bill Murray -
Comedian and Actor

A Saturday Night Live (SNL) alumnus who graduated to the big screen, the bedraggled Murray brings a light-hearted charm to his movie roles. He broke into show business, as a member... More

Help Us to Validate the BHI Quick Hearing Check

Please review the instructions before filling out the form.

* Name of hearing healthcare provider

* eMail address of hearing healthcare provider

Note: By providing the information below to the Better Hearing Institute, the hearing health provider above stipulates that the confidentiality of all patient information has been assured.

Patient Information

* Initials of patient (for ID use only - no first or last names please!)

* Age of patient (years)
* Gender
male
female

* Air Conduction Threshold HL

Ear	500Hz	1000Hz	2000Hz	3000Hz	4000Hz
Right
Left

All fields are required

Speech Testing (Best Score):

Enter % correct
in Quiet
in Noise (Check one)

Test used:
W-22
Nu-6
CST
SPIN
CCT
Other

And/or enter dB SNR

Test used:
HINT
SIN
QuikSin
Other

* BHI Quick Hearing Check Score
Valid values range from 0 – 60

Please click the submit button after reviewing accuracy of data.

* Denotes required field

To enter information on other patients simply enter the data and continue to submit until you have finished submitted all patient information. Your name and email address will continue on lines 1 and 2 until you are complete. When you are complete simply exit the form by leaving the website.

Thank you for your help!