AUDIOMETER SUPPORT FORM

    Audiometer Model *

    Audiometer Serial No. *

    How is it connected to the PC? *

    Are you using an Audio Booth * YesNo

    Do you currently have annual service, calibration & support by GM Instruments? * YesNo

    Name *

    Email *

    Company

    Problems experienced:

    Software

    Error messageInstallation problemsCannot connect to audiometerScreen freezes during testProblem seen following Windows 10 upgradeOther

    Please give further details, including the software version number: *

    Hardware

    Threshold higher on one side (State which side)Thresholds higher on both sidesNo tones being producedNo response being receivedOther

    Please give further details in this section: *

    Audiometer Support Form - Version 1.0 - Date Edited: 26.05.2020

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