Name , SHOFI Test Date 09-Aug-23

Patient ID 01633185 Test Time 1:51 AM

Gender Female Physician
Birthdate 09-Aug-23
DD45

DD45
125 250 500 1K 2K 4K 8K
125 250 500 1K 2K 4K 8K

-10
-10
0
0
10
10
20
20
30
30

Hearing Level (dB HL)

Hearing Level (dB HL)

40 40

50 50

60 60

70 70

80 80

90 90
100 100
110 110
120 120

Frequency (Hz) 750 1.5K 3K 6K 12K

Frequency (Hz) 750 1.5K 3K 6K 12K
AC PTA 33 dB BC PTA 13 dB SII 62 %
AC PTA 23 dB BC PTA 10 dB SII 91 %
REF. ANSI S3.6 / IEC 60645-1
REF. ANSI S3.6 / IEC 60645-1

Masking Table Int

Test
Ear Ext Word List Aided % dB HL dB EM
Right Ear dB EM Type
Mic
AC
BC
Left Ear dB EM

AC
BC

Speech Audiogram
100

90
Speech Rollover
80 Test Pb % Pb %
Ear Word List Aided RI %
70
Type Max Min
60
SRT

50

40

30

20

10

0
-10 0 10 20 30 40 50 60 70 80 90 100 110 120

dB HL

Comments

Examiner License Number

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