Hearing Assessment Tools
Free online audiometry screener and tinnitus sound therapy generator — by Dr. Pranshu Mehta, ENT Surgeon, New Delhi.
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Step 1 — Select ear to test
Test one ear at a time. Use a single in-ear headphone in the selected side. Cover or lightly plug the other ear if possible.
Test both ears with headphones (air conduction). High-frequency loss (4–8 kHz) that is worse than low frequencies suggests sensorineural loss — inner ear or nerve damage. Flat or low-frequency loss suggests conductive pathology — wax, middle ear fluid, or eardrum problem — often treatable. A gap between air and bone conduction on formal testing confirms conductive loss.
Step 2 — Select frequency
Test all 8 for a complete screen. Speech clarity depends mainly on 500 Hz – 4 kHz. High-frequency loss at 4–8 kHz is the earliest sign of noise or age-related damage.
Step 3 — Set hearing level (dB HL)
Start at 40 dB HL. If heard, step down 10 dB and repeat. The threshold is the lowest level heard on 2 out of 3 presentations.
| Normal | −10 to 25 dB HL | Hears whispers and very soft sounds |
| Mild | 26 – 40 dB HL | Misses soft speech, struggles in noise |
| Moderate | 41 – 55 dB HL | Difficulty with normal conversation |
| Mod-severe | 56 – 70 dB HL | Needs raised voice; TV very loud |
| Severe | 71 – 90 dB HL | Hears only shouts or very loud sounds |
| Profound | > 90 dB HL | Relies on lip reading or amplification |
Step 4 — Play tone and record response
Ready — press Play to present the tone.
Preliminary interpretation
Conductive: Outer or middle ear problem. Flat or low-frequency loss. Wax, fluid, perforation, otosclerosis. Often medically or surgically correctable.
Mixed: Both components present. Requires full audiological workup — tympanometry and bone conduction testing.
Need a formal audiogram?
Full PTA, tympanometry, speech audiometry, and BERA available at both clinic locations in Delhi.
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Tinnitus pitch matching, loudness matching, THI scoring, and personalised TRT programme at both Delhi clinic locations.
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