- At home
- The TV or radio is louder than others like. You miss the doorbell, the pressure cooker whistle or someone calling from another room.
- At work or out
- Meetings, restaurants and family functions are hard to follow. You catch the start of a sentence and lose the end. Women's and children's voices are harder than men's.
- On the phone
- Calls feel unclear, you keep the phone on one ear only, or you prefer video calls so you can see faces.
- What family notices
- You answer a different question from the one asked, say "what?" often, or seem to withdraw in groups. Family usually notices months or years before you do.
- How you feel
- Tired after conversations, a ringing in the ears, or a sense that people mumble.
Usually it is other people who notice first. You catch the start of a sentence and lose the end. The pattern on the chart above explains the most common complaint, "I can hear, but I can't understand". Vowels are low-pitched and loud, so you still hear that someone is talking. The quiet high consonants that tell words apart, like s, f and th, are the first to go. Noise makes this worse, because background sound covers the little high-pitched detail that is left.