Name* First Last Email* Do You or a Loved one Have Hearing Loss* I have trouble understanding what people are saying. I often ask people to repeat themselves. I have trouble understanding conversations when there is background noise, for example, at a restaurant or in a busy workplace. I avoid social situations because I have trouble following the conversation. I turn up the TV and radio to levels that others tell me is loud. I often have ringing in my ears. I hear in one ear better than the other. I’ve been told that I have a hearing problem. This iframe contains the logic required to handle Ajax powered Gravity Forms.