Hearing Impairment Checklist

Name: __________________________________________ Grade: _______________ Date: _______________

Teacher: ________________________________________ School: ___________________________________

Observations of one or more

Shows strained expression when listening

Be less responsive to noise, voice or music
Moves closer to speaker when talked to
Watches faces especially the mouth and the lips of the speaker
Often asks for repetition when talked to
Delayed or no responses to questions
Makes use of natural gestures, signs and movements
Has limited speech
Uses limited vocabulary
Speaks in words rather in sentences
Talks with poor rhythm

Non – formal auditory screening tests

 Complete observation checklist
 Whisper test – stand or sit the learner 1 – 2 meters away, back facing the teacher. The teacher says
numbers / words familiar to the learner and asks them to repeat.
 Coin – click test / noise makers test – The learner sits or stands 2 – 3 meters away, back facing the
teacher. The teacher tosses the coin / noise maker and instructs the learner to raise their hands every
time the clicking of the coin or sound of the noise maker is heard.

Comment Follow up When

No Limits: Teachers including learners with disabilities in regular classrooms