3290 North Ridge Road
Suite 125
Ellicott City, MD 21043

Share your story and inspire others who are touched by hearing loss.

1. How has hearing loss impacted your life?

2. How have hearing aids improved your quality of life?

3. Can you share a positive experience you’ve had at Clarity Audiology?

By Checking this box, I give Clarity Audiology & Hearing Solutions permission to use the comments from the testimonial in their marketing materials along with my first name, last initial, and
city of residence.

First name
Last Initial
City
Signature