4, indicating poor hearing as defined by Smits et al. (2004). No significant differences were found between the mean SNRs for the factors instrument category, age, or gender. The correlation between the SNR and the pure-tone thresholds at all measured frequencies was relatively low, but highest and significant at 3 kHz (r = 0.26, p < 0.001). The questionnaire Most often the musicians judged their hearing of 10 years ago as significantly better than 5 years ago, while the latter was rated as significantly better than their hearing now

(mean: 8.8 vs. 8.2 vs. 7.6 Wilcoxon signed ranks tests p < 0.01). When asked to judge the quality of one’s own hearing in quiet, in noisy environments and when making music, no significant this website differences were found in these situations (these ratings were performed on a scale from 1 (very poor) to 5 (very

good). A sum of 46 (19%) of the musicians indicated they would be ashamed of having hearing disorders. When asked to further clarify their answer, 12 (5%) thought they would not be a good musician in case of hearing problems, 6 (2%) stated that they thought their colleagues would doubt their ability to function as a musician. This made some participants reluctant to talk about it or to take measurements associated with hearing DAPT manufacturer problems (i.e. for some this also included wearing hearing protection). A few (16/7%) stated they were afraid of losing their job after the orchestra management would be informed about hearing problems. A sum of 6 (2%) thought this question was not applicable to them (i.e. because they did not suffer from hearing complaints), and 20 (8%) thought hearing problems are part of the life of a musicians and should therefore be discussed in all circumstances. A large number of musicians indicated to use hearing protection: 152 (52%) during orchestra repetitions, 70

(29%) during concerts and 87 (36%) during other occasions, such as visits to a discotheque and other leisure activities. Females indicated to wear hearing protection more often than males during repetitions and concerts (χ 2 (1) = 4.68, p = 0.03). A few musicians only wear hearing protection when strictly necessary and only in one ear (e.g. the ear on the side of percussion many or brass winds). Most wearers use disposable hearing protectors (foam or cotton), a few have custom-made hearing protectors. When asked about other auditory deficits (i.e. hyperacusis, diplacusis, tinnitus, and distortion) 190 (79%) reported complaints about hyperacusis, 17 (7%) about diplacusis, 121 (51%) about tinnitus, and 57 (24%) about distortion of tones. The degree of the complaints varied from slight to severe. Figure 4 shows cumulative results on the five-point rating scale. The number of musicians that suffered from hyperacusis, diplacusis, tinnitus, or distortion did not depend on the instrument played by the musician or gender (p > 0.5). Fig.