Indications of possible hearing difficulty include lack of normal response to sound, inattentiveness, difficulty in following oral instruction, intent observation of the speaker’s lips, and poor articulation (Sattler, 1988). In all case in which hearing impairment is suspected, referral for an audio logical examination is crucial. If a serious hearing problem is confirmed, then the examiner should consider using one of the specialized tests discussed in Chapter 7, Testing Special Populations. In persons with a mild hearing loss, it is essential for the examiner to face the subject squarely, speak loudly, and repeat instructions slowly. It is also important to a quiet room for testing. Ideally, a testing room will have curtains noises