Date
logist
2200 Research Boulevard • Rockville, Maryland 20850-3289 • www.asha.org
UNDERSTANDINGY OUR AUDIOGRAM
Notes
Frequency (Pitch) in Hertz (Hz)
Soft
Loud
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
250 500 1000 2000 4000 8000
z v
m d b
e l
u
j i
o a
r
p
h g
ch sh
k
f th
s
Low pitch High pitch
UNDERSTANDING YOUR AUDIOGRAM
Name: Date: Audiologist:
Notes
Incus
Stapes
Semicircular Canals
Cochlear
Nerve
Ear Canal
Eardrum
Eustachian Tube
Cochlea
Middle Ear Outer Ear Inner Ear
Vestibular
Nerve
Malleus
8th
Cranial
Nerve
For further information, contact American Speech-Language-Hearing Association
800-638-8255 asha.org
Hearing
level
in
decibels
(dB)
316075
logist
2200 Research Boulevard • Rockville, Maryland 20850-3289 • www.asha.org
UNDERSTANDINGY OUR AUDIOGRAM
Notes
Frequency (Pitch) in Hertz (Hz)
Soft
Loud
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
250 500 1000 2000 4000 8000
z v
m d b
e l
u
j i
o a
r
p
h g
ch sh
k
f th
s
Low pitch High pitch
UNDERSTANDING YOUR AUDIOGRAM
Name: Date: Audiologist:
Notes
Incus
Stapes
Semicircular Canals
Cochlear
Nerve
Ear Canal
Eardrum
Eustachian Tube
Cochlea
Middle Ear Outer Ear Inner Ear
Vestibular
Nerve
Malleus
8th
Cranial
Nerve
For further information, contact American Speech-Language-Hearing Association
800-638-8255 asha.org
Hearing
level
in
decibels
(dB)
316075