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Remote Adjustment Form
Device Name
*
Choose a device...
The Spirit Series 1 & Series 2
The Omni Series 1 & Series 2
The Wave Series 2
The Mini
First Name
*
Last Name
*
Email
*
Phone
*
Reason for adjustment
*
Select a reason...
Too loud
Too soft
Sound is muffled
Whistling or static noises
Echo / Hearing own voice
Sounds are too sharp or tinny
Sound cuts in and out
Other
Do you frequently adjust the volume?
*
Choose a response...
I raise the volume every day
I lower the volume every day
The overall volume is fine
How severe is the problem?
*
Choose a response...
Slightly annoying
Annoying
Hearing aids are unusable
Which side is the problem on?
*
Choose a response...
Left
Right
Both
Which programs?
*
Choose a response...
All programs
N/A
Just certain programs:
Submit