Clinician Survey: Diabetes and Hearing Loss
Help us understand clinical perspectives and practices regarding hearing loss among patients with diabetes.
Clinician Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Professional Title
*
Please Select
Physician
Nurse Practitioner
Audiologist
Endocrinologist
Diabetes Educator
Other
Years of Experience in Clinical Practice
*
How many patients with diabetes do you see per month (approximate)?
*
How familiar are you with the association between diabetes and hearing loss?
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Not familiar at all
1
2
3
4
Very familiar
5
1 is Not familiar at all, 5 is Very familiar
Please indicate your agreement with the following statements regarding diabetes and hearing loss:
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Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Hearing loss is a common complication of diabetes.
1
2
3
4
5
I routinely discuss hearing health with my diabetic patients.
6
7
8
9
10
I feel confident identifying hearing loss in my diabetic patients.
11
12
13
14
15
More education is needed about the link between diabetes and hearing loss.
16
17
18
19
20
Which of the following best describes your current practice regarding hearing loss in diabetic patients?
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I routinely screen for hearing loss in diabetic patients
I refer diabetic patients for hearing evaluation only if they report symptoms
I do not routinely address hearing loss in diabetic patients
Other
What are the main barriers you face in addressing hearing loss among patients with diabetes? (Select all that apply)
Lack of time during consultations
Lack of resources or screening tools
Limited knowledge about the association
Patient resistance or lack of interest
Other
In your opinion, what would help clinicians better address hearing loss in diabetic patients? (Select all that apply)
More education or training
Standardized screening protocols
Easier referral pathways
Patient education materials
Other
Please share any additional comments or suggestions regarding diabetes and hearing loss:
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