Online Booking - Cape Hearing Aids

Please complete the below booking form and we will contact you to confirm your booking

Name

Contact Number

What date would you prefer? (We will contact you to confirm)

Have you ever gone for a hearing test before?

If yes, when was the last time you did a hearing test?

Do you currently have Hearing Aids?

Do you have Tinnitus? (Ringing in the ears)

Do you currently experience any hearing difficulties?

How old are you?

Please provide us with a short summary of your hearing experience so far