We are pleased to provide free 5 Keys counseling tools. These two powerful forms can be used alone or in conjunction with the other 5 Keys products. Please complete the form on this page to receive your free tools via email.
The 5 Keys Needs Assessment
The 5 Keys Needs Assessment is a fill-able PDF document that should be used during the initial consultation to determine each patient’s communication needs. The form was designed to address the most commonly reported challenging communication situations. The “notes” section allows for clarification and details to be provided, and the “rank” column allows the patient or provider to identify the top 2 or 3 most important treatment goals for each patient so that those can be addressed during follow-up visits.
Successful Communication Plan
The Successful Communication Plan is a fill-able PDF worksheet that encourages patients to use what they learn in the 5 Keys Handbook and Online Program. The worksheet serves as a good reminder to the patient and their communication partner that hearing aids are only one piece of the puzzle, and that they each must do their part to be successful with the treatment process. A Successful Communication Plan should be completed for the patient’s most important treatment goals.