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Audio Baseline questionnaire

Storm information

Advice on storm preparation, live updates and help and support after a storm

To be completed by clients at their FIRST hearing test.  An Audio Questionnaire should also to be completed

Audio baseline quesionnaire

About you
Please enter your home postcode and click 'Find' to select your address. If you address isn't listed you can enter your address manually
Audio baseline questions
Have you ever had (Please select all that apply)
Outside of work do you REGULARLY use (Please select all that apply) :
Do you have any of these hobbies? (Please select all that apply)
Have you ever worked in any of the following jobs (Please select all that apply)
Was PPE provided?
Did you wear PPE?
Confirmation and Consent

 

Data Protection

Who we are

Occupational Health and Wellbeing and we will be carrying out your Medical.

Why we are collecting the data

We require you to provide this information so that our Clinician/Technician can review the information supplied to establish your current health situation and to identify any possible issues that may arise in undertaking your medical.

Who the data will be shared with

Your data will not be shared with any other parties. If further advice or the opinion of an Occupational Health Physician is required we will obtain your content to share the information prior to doing so.

How long it will be retained

Your information will be kept and stored electronically for 40 years after the end of your employment.

For further information or assistance on Data Protection matters, please contact the Council's Data Protection Officer at dpo@cornwall.gov.uk.

Read our full Privacy Policy

Last Updated:

27/05/2026