Please select one of the answers to each question:
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The aim of this questionnaire is to find out how your ear problems have affected you since
you have had ear surgery performed or another type of intervention.
Please answer the questions below by considering carefully each question asked, and then
ticking the appropriate box. There are no right or wrong answers, but please try to think
carefully about each question before ticking the appropriate box.
Once you have completed the questionnaire, please check that you have provided an
answer to every question and do ask for help if you find it hard.
Before your first visit, please click the button to complete our New Patient Form