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Tel:
021 556 4236
Mail:
info@capehearingaids.co.za
Home
Services
Our Products
Who We Are
Branches
Online Booking
Home
Services
Our Products
Who We Are
Branches
Online Booking
Tel:
0872554216
Mail:
info@capehearingaids.co.za
Home
Services
Our Products
Who We Are
Branches
Online Booking
Home
Services
Our Products
Who We Are
Branches
Online Booking
Please complete the below booking form and we will contact you to confirm your booking
Name
Email
Contact Number
Which branch would you prefer to visit?
Century City
Claremont
Goodwood
Melkbos
Pinelands
Sea Point
Tableview
What date would you prefer? (We will contact you to confirm)
Have you ever gone for a hearing test before?
Yes
No
If yes, when was the last time you did a hearing test?
More than 2 years ago
Less than 2 years ago
N/A
Do you currently have Hearing Aids?
Yes
No
Do you have Tinnitus? (Ringing in the ears)
Yes
No
Do you currently experience any hearing difficulties?
Yes
No
How old are you?
I am over 60 years of age
I am under 60 years of age
Please provide us with a short summary of your hearing experience so far
Send