Auditory Processing Disorder Test - Self Report

Assessment 1 of 23

Form Instructions & Things to Know

How to fill this form:
  • Read each question carefully before selecting an answer.
  • Select the most accurate option based on your observations.
  • Do not skip questions; every response helps in the assessment.
Things to know:
10-15 Mins

Estimated completion time.

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Note: This is a screening and assessment tool, not clinical (medical).

First, please provide your contact information.

Information about the individual being assessed.

1. I struggle to follow conversation in restaurants, parties, or other noisy places.
2. Background noise, like a fan, TV, or hallway chatter, makes it hard for me to focus on what someone is saying.
3. I have trouble following a conversation when more than one person is talking at once.
4. I find it hard to follow speech on a phone or video call when there's background noise on either end.
5. Noisy classrooms, meeting rooms, or open-plan offices make it hard for me to catch what's said.
6. I mishear words that sound similar, like "fifteen" and "fifty," or mix up similar-sounding words.
7. I ask people to repeat themselves, even in quiet settings, more often than people around me seem to.
8. Fast talkers or people with unfamiliar accents are especially hard for me to understand.
9. I struggle to tell which direction a sound, like someone calling my name, is coming from.
10. I find myself watching someone's mouth or face to understand them, even when I can hear their voice fine.
11. I forget spoken instructions almost as soon as I've heard them.
12. When someone gives me several steps at once, I only remember the first or last one.
13. I have to write things down immediately after hearing them, or I lose the information.
14. I find it hard to hold a phone number, address, or short list in my head after hearing it once.
15. I mix up the order of steps when following spoken directions.
16. Listening carefully for a long stretch, like in a lecture or meeting, leaves me mentally exhausted
17. My mind drifts during conversations, even when I am genuinely trying to listen.
18. Long phone calls or video calls wear me out more than they seem to wear out other people.
19. By the end of a loud or conversation-heavy day, I feel unusually drained or foggy.
20. I find it hard to listen and take notes, or listen and think something through, at the same time.