Hearing Goals & Visit Prep Builder
Turn vague worries like “I miss things in groups” or “listening is exhausting” into a short, clear prep sheet you can bring to your audiology or ENT visit.
This tool doesn’t triage emergencies and doesn’t replace medical care. It simply organizes what you want help with so you can use your visit time well. If you’re worried about sudden changes, pain, or new dizziness, use the Care Navigator or seek urgent care instead.
Build your visit story
Check a few boxes and jot a few words. You don’t need perfect language to get help—this is just a starting point you and your clinician can edit together.
This just tells the clinician whose voice this summary is trying to reflect.
Tip: Many caregivers and clinicians use “I” language in the visit, even if they helped fill this out. It’s all about what helps the patient feel most comfortable.
Pick the situations where it would feel meaningful to have things go even a little bit better.
Choose as many as apply. If nothing fits, use “Other.”
A sentence or two is plenty: “I’d love to follow group conversations at work without pretending,” for example.
These are the parts people don’t always say out loud. You’re allowed to be honest here.
Pick anything that sounds familiar—even if it doesn’t happen all the time.
For example: “I feel guilty asking my partner to repeat” or “I’m scared this means I’ll lose my job.”
This helps your clinician see the bigger picture and match next steps to where you are now.
Check anything that applies—even if it “didn’t work” or wasn’t used for long.
Include the small wins and the “this didn’t work at all” stories. Both are useful.
You don’t have to be ready for everything at once. It’s okay to ask for small steps.
For example: “I can’t make frequent visits,” “Cost is a big concern,” or “I’d like to move slowly.”