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Questions about sudden hearing loss
Name
Name
First
Last
Are you between the ages of 18 and 80?
When did your hearing loss begin?
How rapid was the onset?
Is the hearing loss in one or both ears?
Do you have diabetes?
When was the last time you took a statin drug?
Have you had a COVID immunization within the last 30 days?
When was the last time you took a steroid drug?
Have you had ear surgery other than ear tubes?
Have you had similar prior events of Sudden Hearing Loss?
Do you have medical reasons to not take steroid drugs?
Do you have an autoimmune disease

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