HEAR-COMMAND Tool
– validated, self-rated questionnaire designed to assess challenges in hearing, communication, conversation, and participation in everyday life
Developed in accordance with the World Health Organization’s International Classification of Functioning, Disability and Health (ICF), it represents the most comprehensive assessment tool of its kind.
Grounded in the ICF framework, the tool provides a holistic view of hearing-related functioning that goes beyond standard audiological measures. It is suitable for clinical application, research purposes, and personal evaluation.
Info in detail
About the tool
Installation & Usage Manuals
- LimeSurvey Implementation Manual
- HEAR-COMMAND Tool Online Version Installation Manual: Provided in .pdf format (English)
- Tool Preview:
- English version: Provided in .pdf format
- German version: Provided in .pdf format
Translations & Cultural Adaptations
Korean version:
Alfakir R, Dunaway L, Hyun J, Sagong H, Afghah T, Kang S. Translation, Cultural Adaptation, and Field Testing of the Korean Version of the HEAR-COMMAND Tool: A Self-Rated ICF-Based Questionnaire for Assessing Hearing, Communication, and Conversation Disabilities in Korean-Speaking Populations. J Audiol Otol. 2025 Jul;29(3):197-204. doi: 10.7874/jao.2025.00136. Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC12313439/
Arabic version:
Alfakir, R., Hammady, M., Afghah, T. et al. Translation, cultural adaptation, and validation of the HEAR-COMMAND Tool – Arabic: a self-rated ICF-based questionnaire for assessing hearing, communication, and conversation disability in Arabic-speaking populations. Egypt J Otolaryngol 41, 101 (2025). https://doi.org/10.1186/s43163-025-00832-4
Central publications
- Afghah, Tahereh, Razan Alfakir, Markus Meis, Mahmoud Hammady, Mostafa Youssif, Mohamed Abd Al-Ghaffar, Sophia E. Kramer, and Kirsten C. Wagener. "ICF-based hearing and functioning assessment: validation and research outcomes of utilizing the HEAR-COMMAND tool for patients with mild to moderately severe hearing loss and individuals with normal hearing." Frontiers in Rehabilitation Sciences 5 (2024): 1389653. Link to article
- Afghah, Tahereh, Razan Alfakir, Markus Meis, Lisette van Leeuwen, Sophia E. Kramer, Mahmoud Hammady, Mostafa Youssif, and Kirsten C. Wagener. "The development of a self-rated ICF-based questionnaire (HEAR-COMMAND tool) to evaluate hearing, communication, and conversation disability: multinational experts' and patients' perspectives." Frontiers in rehabilitation sciences 3 (2022): 1005525. Link to article
Funding measure
English, German and Arabic versions:
This project is funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) - Project number: 352015383 - SFB1330, C4
Korean version:
This project is funded by the Auburn University Undergraduate Research Fellow Program 2024-2025 in collaboration with the College of Nursing, Auburn University, AL, USA.
Project partners
- Hörzentrum Oldenburg gGmbH, Oldenburg, Germany
- Cluster of Excellence Hearing4all, Oldenburg, Germany
- Auditory, Balance, and Mobility Capability (ABILITY) Research Lab, housed within the Department of Speech-Language and Hearing Sciences, Auburn University, USA
- Cochlear Deutschland GmbH & Co. KG, Research Department, Germany
- Sohag University Hospital, Audiovestibular Medicine Division, Egypt
- Amsterdam UMC, Department of Otolaryngology-Head and Neck Surgery, Netherlands
Project duration
2021 – present
Our contact person for you:
Dr. Tahereh Afghah
Hörzentrum Oldenburg gGmbH
Marie-Curie-Straße 2, 26129 Oldenburg, Germany
+49 441 2172-184