Para a avaliacao do impacto da audicao e da voz nas atividades diarias utilizaram-se o Hearing Handicap Inventory for the Elderly--Screening (HHIE-S) (11) e o Indice de Desvantagem Vocal (IDV) (12), e para a avaliacao da percepcao da qualidade de vida utilizou-se o Questionario de Avaliacao da Qualidade de Vida da Organizacao Mundial de Saude para Idosos (World Health Organization Quality of Life--OLD --WHOQoL-OLD) (13).
O HHIE-S e um questionario formado por 10 perguntas fechadas sobre as restricoes de participacao decorrentes de problemas auditivos, com respostas graduadas em "sim" (quatro pontos), "nao" (nenhum ponto) e "as vezes" (dois pontos).
Subsequently were applied more the questionnaires: Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S), and The Mini-Mental State Examination (MMSE).
The HHIE-S questionnaire was developed by Ventry and Weinstein (20) and customized into Portuguese by Wieselberg (21).
We examined self-assessed hearing handicap using the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) version .
The HHIE-S  was included in the EHLS as a measure of the self-perceived hearing handicap , with scores >8 indicating a self-reported hearing handicap [23-24] with scores in the 10 to 24 range considered mild to moderate hearing handicap and scores in the 26 to 40 range considered severe handicap .
BEST TOOL: The screening version of the Hearing Handicap Inventory for the Elderly (HHIE-S) is a 5-minute, 10-item questionnaire developed to assess how the individual perceives the social and emotional effects of hearing loss.
TARGET POPULATION: The HHIE-S was designed to be used with non-institutionalized older adults in a variety of clinical and community settings, it is usually administered using a face-to-face interview.
Population Five hundred forty-six older individuals who underwent audiometry at biennial examination 22 of the Framingham Heart Study and who took the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) questionnaire.
Outcomes Measured The 2 screening methods were the 10-item HHIE-S and 1 global question: "Do you have a hearing problem now?" The gold standard was an audiogram showing a pure tone threshold of 40 dB HL or higher at 1 and 2 kHz in one ear or at 1 or 2 kHz in both ears.
Ventry and Weinstein (1983) developed a screening protocol, the Hearing Handicap Inventory for the Elderly (HHIE-S), which identifies elderly persons who perceive that they may experience problems in their daily lives as a result of their hearing loss.
A score of 10 to 40 constitutes a fail on the HHIE-S and a score of 0 to 8 constitutes a pass.