Survey (EN) - Sama3ati®

Name *

Mobile Number *

1. Sex: *

2. Age: *

3. Have you ever had trouble hearing in one or both ears? *

If yes, do you use any sort of hearing impairment aids? *

4. Do you have a friend or a family member that suffers from such impairment? *

If yes, how old are they? *

5. Choose the price range of their/your hearing aids: *

6. Would you or they consider trying newly launched hearing aids that are cheaper and need no doctor visit (but clinically approved)? *

7. What do you most focus on when trying new aids? (you can choose more than one option) *

8. To what extent are you interested in knowing more about the Sama3ati hearing aid kit? *

9. Why would you consider trying a newly launched medical hearing aid and replacing it with the one you already use?