CDEs
Forms
Do you know the reason for your hearing difficulty [PhenX]
Do you know the reason for your hearing difficulty? (if there is a separate cause for each of your ears, please note them accordingly) Describe:
Does your hearing vary from day to day [PhenX]
Background noise PhenX
Are you particularly sensitive to loud sounds [PhenX]
Do you sometimes feel a fullness or blockage in your ears [PhenX]
Do you ever get noises in your head or ears, tinnitus, which usually last longer than 5 minutes [PhenX]
Disease caused hearing get worse PhenX
Ear discharge PhenX
Ear operation PhenX
Which ear PhenX
Dizziness attack PhenX
Do you feel unsteady when walking in the dark [PhenX]
Country of origin Fam Mem PhenX
Region of origin PhenX
As far as you know, does/did your mother have hearing problems?
Occupation Fam Mem PhenX
Cause hearing prob Fam Mem PhenX
Age @ Death Time Patient
Do you have any brothers or sisters with normal hearing [PhenX]
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