Difficulty seeing ordinary newsprint with glasses or contact lenses if usually worn? |
No = 0 Yes, but able = 1 Yes but, completely unable = 2 |
|
Difficulty clearly seeing the face of someone across a room with glasses or contact lenses if usually worn? |
No = 0 Yes, but able = 1 Yes but, completely unable = 2 |
|
Difficulty hearing what is said in a conversation with one person? |
|
No = 0 Yes, but able = 1 Yes but, completely unable = 2 |
Difficulty hearing what is said in a group conversation with at least three other people? |
|
No = 0 Yes, but able = 1 Yes but, completely unable = 2 |
Able to hear what is said over the telephone? |
|
Yes = 0 No = 1 |
|
Total Possible Score |
4 |
5 |