Contact the Study team Questions about sudden hearing loss Date * Name * Name First First Last Last Email * Are you between the ages of 18 and 80? * yes no When did your hearing loss begin? * 14 days ago or less More than 14 days ago Not sure How rapid was the onset? * 3 days or less 4 or more days Not sure Is the hearing loss in one or both ears? * One ear Both ears Not sure Do you have diabetes? * yes no Not sure When was the last time you took a statin drug? * 1 year ago or less More than 1 year ago Not sure Have you had a COVID immunization within the last 30 days? * yes No Not sure When was the last time you took a steroid drug? * 30 or fewer days ago more than 30 days ago Not sure Have you had ear surgery other than ear tubes? * yes no Not sure Have you had similar prior events of Sudden Hearing Loss? * yes no Not sure Do you have medical reasons to not take steroid drugs? * yes no Not sure Do you have an autoimmune disease * yes no Not sure Any other message to the Study Team? If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit