Adult Auditory Performance Scale Step 1 of 7 14% Instructions: Answer the following questions by selecting the frequency of each task. For example, all people, to a certain extent, may have difficulties listening and understanding in a noisy room, so circle the frequency it happens.Listening Condition: NOISEListening Condition: NOISE. If listening in a room where there is background noise such as TV, music, others talking, children playing, etc., how often do you experience difficulty hearing and understanding?When paying attention(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being asked a question(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being given simple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being given complicated, multiple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When not paying attention(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When involved with other activities(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening in a group(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%) Listening Condition: QUIETIf listening in a quiet room, how often do you experience difficulty hearing and understanding?When paying attention(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being asked a question(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being given simple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being given complicated, multiple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When not paying attention(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When involved with other activities(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening in a group(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%) Listening Condition: IDEALWhen listening in a quiet room, no distractions, face-to-face and with good eye contact, how often do you experience difficulty hearing and understanding?When being asked a question(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being given simple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When being given complicated, multiple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%) Listening Condition: MULTIPLE INPUTSWhen, in addition to listening, there is some other form of input (visual, tactile, etc.), how often do you experience difficulty hearing and understanding?When listening and watching the speaker's face(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening and reading material that is also being read out loud by another(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening and watching someone provide an illustration such as a drawing, model, etc.(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%) Listening Condition: Auditory Memory/SequencingIf required to recall spoken information, how often do you experience difficulty hearing and understanding?Immediately recalling information such as a word, spelling, number(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)Immediately recalling specific instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)Immediately recalling multiple instructions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)Not only recalling information, but also the order of sequence of the information(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When delayed recollection (1 hour or more) of simple information (words, word spelling, numbers) is required(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When delayed recollection (1 hour or more) of simple instructions is required(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When delayed recollection (1 hour or more) or multiple instructions is required(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When delayed recollection (24 hours or more) is required(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%) Listening Condition:Auditory Attention SpanIf extended listening is required, how often do you experience difficulty in being attentive to what is being said?When listening time is less than 5 minutes(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening time is 5 to 10 minutes(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening time is over 10 minutes(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening in a quiet room(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening in a noisy room(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening first thing in the morning(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening at the end of the day, before supper time(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%)When listening in a room where there are also visual distractions(Required)Never (1%)Seldom (12%)Occasionally (25%)Half the time (50%)Generally (75%)Almost Always (85%)Always (99%) Name(Required) Full Name Email(Required) Country(Required)AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and 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