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: *

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