C

Client Name: Arraiolos, Nelson~

Client No.: 0002840
Birth date: 17-08-1972
Date of Evaluation:
_

Hearing Evaluatio~
Report

Frequency

"

"

Legend
R

ro

><> ~
)--;;::.o

"

~<a -----

"1(1

Ol
C
.~

bc
Not Masked

<

>

bc
Masked

MCl

UCl

rn

x --

SF
Unaided
SF-A
Aided

.fI

t-

Q)

--

:j

---m---

m -----

m ---

(OFreq.)

1:0

Make/Model

CR=cj
I

1"1">

(mmH20)

E' Canal
ne tcc)

Static

Calibration

Date

-+_Ot_h_e_r +-Ot_h_e~r

12

-4

11,1

11,5

:,lmphance
cc)

---~--~-~
cc)
----+---+-~

Pure Tone
Average

Pressure

Pe. ., Height

~==~~==~-~------~

m
m ---

T_yp_e
__

VOI

@>~)

x :::::.----

ao

(O

~i

.'

ai>

~Il

CJl

(226 Hz PROBE)

AC
Masked

(,

.~

Tympanometry
Binaurat

AC
Not Masked

Ci)-t
.o

in Hertz (Hz)

I'

~
co

ic.dient

E
~OH20)

5,8

4,5

65

59

Pure Tcne intes

1- ----------

Test Method

---------~I
Test Rellablllty

Speech Audiometry
SRT

Mask

MCl

W ord Recognition
%

UCl

Stimulus

Mask

-----------41

Stimulus

Comments

Noise

Binaural

Binaural

SF

SF

SF-A

SF-A

Speech

t--Calibration

Date

Test Reliability
Comments

Acoustic Reflex

Ipsilateral

500

250

1000

Decay

Decay

Contralateral

2000

4000

BBN

6000

LBN

I~

I
I

Decay

r--

t __-== _.

User Defined

Notes

-------==

Date

Comments

1
UserDefined1
User Defined

1---

--'

Make/Model
Calibration

-- -------

I--- -

lmp. dan

Decay

Report Comments

Signature_:

User Defined 1

HBN

r----------------~

Stimulus
Ear

Notes

-- - ---------1

Make/Model

SF-A2

SF-A2

User Defined

~=====L-~=-==--==--======,=

User Defined