Hearing Screening E-Learning Course

Hearing Screening E-Learning Course

Hearing Screening Procedures

Risk Assessment and Hearing History

Hearing risk assessment and history consists of questions designed to detect a child’s potential risk for hearing loss. This includes asking if:

  • There is a history of childhood hearing disability or hearing loss in the child's siblings or the family of the biological mother or father.
  • Delay in the child’s language acquisition.
  • Recurrent otitis media. In addition.
  • Parent, or guardian concerns about the child's hearing.
  • Screeners use a hearing screening questionnaire to assess a child’s particular risk factors for hearing loss, it is not intended to be a comprehensive health history.

For more information, refer to Risk Assessment.

Risk Assessment and Hearing History Procedure


One month to 21 years


To assess risk factors for lost to follow-up, delayed onset, progressive and acquired hearing loss


C&TC, Early Childhood Screening hearing work sheet, School hearing worksheet or other documentation form


Review the following:

  • For infants zero to one months of age or any initial C&TC visit of a child up to the age of three years:
    • Universal newborn hearing screening is required for all newborns by one month of age using either otoacoustic emissions (OAE) or auditory brainstem response (ABR) technology.
    • If an infant did not receive newborn hearing screening, it is recommended that an objective screening, OAE or ABR as appropriate, be performed as soon as this gap in screening is identified.
  • For all children:
    • Review: JCIH Risk Indicators and Observed Complaints and Behaviors.
    • Monitor developmental milestones and caregiver concern. This is especially important until pure tone audiometry screening can be performed, typically at three to four years of age.
  • For youth 11 through 20 years, review Indicators of Noise Induced Hearing Loss.
Question: Screening for behavioral signs of possible hearing loss includes asking about:

This concludes the Risk Assessment and Hearing History segment of the Hearing Screening Procedures section. You may return to the Table of Contents or continue with the next segment Visual Inspection of Ears. If you do not plan on completing the entire web training, please fill out the evaluation form, C&TC Children's Hearing Screening Web-Based Training Evaluation.

<< Previous