| Hearing Handicap Inventory for the Elderly-Screening Version
(HHIE_S) |
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Yes |
No |
| 1. |
After drinking, have you ever
noticed an increase in your heart rate or beating in your chest? |
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| 2. |
When talking with others, do you ever underestimate
how much you actually drink? |
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| 3. |
Does alcohol make you sleepy so that you often fall
asleep in your chair? |
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| 4. |
After a few drinks, have you sometimes not eaten or
been able to skip a meal because you don't feel hungry? |
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| 5. |
Does having a few drinks help decrease your shakiness
or tremors? |
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| 6. |
Does alcohol sometimes make it hard for you to
remember parts of the day or night? |
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| 7. |
Do you have rules for yourself that you won't drink
before a certaintime of day or night? |
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| 8. |
Have you lost interest in hobbies or activities
you used to enjoy? |
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| 9. |
When you wake up in the morning,
do you ever have trouble remembering part of the night before? |
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| 10. |
Does having a drink help you sleep? |
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| 11. |
Do you hide your alcohol bottles from family members? |
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| 12. |
After a social gathering, have you ever felt
embarrassed because you drank too much? |
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| 13. |
Have you ever been concerned that drinking might be
harmful to your health? |
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| 14. |
Do you like to end an evening with a nightcap? |
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| 15. |
Did you find your drinking increased after someone close to you died? |
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| 16. |
In general, would oyu prefer to have a few drinks at
home rather than go out to social events? |
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| 17. |
Are you drinking more now than in the past? |
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| 18. |
Do you usually take a drink to relax or clam your nerves? |
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| 19. |
Do you drink to take your mind off your problems? |
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| 20. |
Have you ever increased your drinking after
experiencing a loss in your life? |
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| 21. |
Do you some time drive when you have had too much
drink? |
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| 22. |
Has a doctor or nurse ever said they were worried or
concerned about your drinking? |
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| 23. |
Have you ever made rules to manage your drinking? |
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| 24. |
When you feel lonely does having a drink help? |
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| Your score |
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| Your score's meaning:
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