| 1. My ability to lipread has… | 1 | 2 | 3 | 4 |  | 
| 2. My ability to understand speech in quiet has… | 1 | 2 | 3 | 4 |  | 
| 3. My ability to understand speech in noise has… | 1 | 2 | 3 | 4 |  | 
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| Please rate how important each aspect of the course was to you: | Does not apply (did not occur) | Not important | A little important | Somewhat important | Very important | 
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| 4. Being with other people who have similar hearing problems as me | 1 | 2 | 3 | 4 | 5 | 
| 5. Learning how others cope with hearing loss | 1 | 2 | 3 | 4 | 5 | 
| 6. Understanding the feelings that others have about their hearing loss | 1 | 2 | 3 | 4 | 5 |