Adult Auditory Performance Scale - Auditory Processing Center

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: NOISE

Listening 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)

When being asked a question(Required)

When being given simple instructions(Required)

When being given complicated, multiple instructions(Required)

When not paying attention(Required)

When involved with other activities(Required)

When listening in a group(Required)

Listening Condition: QUIET

If listening in a quiet room, how often do you experience difficulty hearing and understanding?

When paying attention(Required)

When being asked a question(Required)

When being given simple instructions(Required)

When being given complicated, multiple instructions(Required)

When not paying attention(Required)

When involved with other activities(Required)

When listening in a group(Required)

Listening Condition: IDEAL

When 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)

When being given simple instructions(Required)

When being given complicated, multiple instructions(Required)

Listening Condition: MULTIPLE INPUTS

When, 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)

When listening and reading material that is also being read out loud by another(Required)

When listening and watching someone provide an illustration such as a drawing, model, etc.(Required)

Listening Condition: Auditory Memory/Sequencing

If required to recall spoken information, how often do you experience difficulty hearing and understanding?

Immediately recalling information such as a word, spelling, number(Required)

Immediately recalling specific instructions(Required)

Immediately recalling multiple instructions(Required)

Not only recalling information, but also the order of sequence of the information(Required)

When delayed recollection (1 hour or more) of simple information (words, word spelling, numbers) is required(Required)

When delayed recollection (1 hour or more) of simple instructions is required(Required)

When delayed recollection (1 hour or more) or multiple instructions is required(Required)

When delayed recollection (24 hours or more) is required(Required)

Listening Condition:Auditory Attention Span

If 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)

When listening time is 5 to 10 minutes(Required)

When listening time is over 10 minutes(Required)

When listening in a quiet room(Required)

When listening in a noisy room(Required)

When listening first thing in the morning(Required)

When listening at the end of the day, before supper time(Required)

When listening in a room where there are also visual distractions(Required)

Name(Required)

Full Name

Email(Required)

Country(Required)

State(Required)