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Please complete the booking form and secure your place.
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Saturday 01/03/2025 SIGNIA
Monday 03/03/2025 STARKEY
Tuesday 04/03/2025 OTICON
Name and Surname
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Email
*
Mobile
*
Do you have hearing loss
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Not sure
Mild hearing loss
Moderate hearing loss
Severe hearing loss
Profound hearing loss
Existing hearing aid wearer?
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Yes
No
How many years have you worn hearing aids?
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Which time slots would be best for you (please select 3) or I don't mind
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I don't mind
09h00
09h30
10h00
10h30
11h30
12h30
13h30
14h00
14h30
15h30
16h00
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