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Objective: The purpose of this study was to develop the Simple-Version hearing screening questionnaire for elderly and analyse the sensitivity and specificity.Methodology: Summary of the hearing screening literatures on elderly, and captured the life behavior problem that elderly persons often encounter from the hearing clinic and community in the elderly population, and then combined these issues into the Simple-Version hearing screening questionnaire(SVHCQ) which was used for this study.Subjects were recruited from the physical examination center of Xinhua hospital.The questionnaire and pure tone test were administered for them.The results were analyzed statistically with SPSS 17.0 to determine the sensitivity and specificity of SVHCQ.