
Get the free Your audiogram
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Your hearing.
Your solution. NameDateYour audiogramSoftdBLow pitched 10125High pitched
2505001000200040008000HzNormal hearing0
10
20Mild hearing loss30
40Moderate hearing loss50
60Moderatelysevere
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What is your audiogram?
Your audiogram is a graph that shows the softest sounds you can hear at different frequencies.
Who is required to file your audiogram?
Employees working in noisy environments are required to file their audiograms.
How to fill out your audiogram?
You can fill out your audiogram by visiting a licensed healthcare professional.
What is the purpose of your audiogram?
The purpose of your audiogram is to assess your hearing ability and detect any hearing loss.
What information must be reported on your audiogram?
Your audiogram must include your name, date of birth, date of test, and results of the hearing assessment.
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