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IEP goals for understanding your audiogram

By the IEP Atlas editorial teamLast updated

Short answer

An audiogram IEP goal teaches a deaf or hard of hearing student to read and explain their own audiogram: which ear, the type and degree of loss, which speech sounds are hard to hear, and what their devices do. The goal is self-knowledge for self-advocacy, measured with a rubric or accuracy on questions about the student's own chart.

An audiogram is the graph an audiologist makes during a hearing test. It shows the softest sound the student can hear at each pitch, in each ear. Most deaf and hard of hearing students have seen theirs many times. Few can explain it.

That matters. A student who knows they miss high-pitched sounds can tell a teacher why "s" and "th" get lost, why the remote microphone helps, and why a noisy cafeteria is hard. Understanding the audiogram turns a medical chart into a reason for each accommodation. That is why many teachers of the deaf write audiogram goals as part of self-advocacy, often starting in upper elementary school.

The 20 goals below are grouped into four areas. Baselines and criteria are illustrations. Templates link to the hearing technology goals page.

How to read an audiogram

Teach these parts first. The student's own audiogram is the best material.

PartWhat it showsWhat to teach the student
Horizontal axisPitch, in hertz (Hz), low on the left, high on the rightLow sounds like a drum are on the left; high sounds like a bird or "s" are on the right
Vertical axisLoudness, in decibels (dB HL), soft at the top, loud at the bottomThe lower the marks, the louder a sound must be to hear it
O symbols, often redRight ear without devicesRed, round, right
X symbols, often blueLeft ear without devicesBlue X for the left
Brackets or arrowsBone conduction, which helps tell the type of lossShows whether the problem is in the outer or middle ear, or the inner ear
A or other aided symbolsWhat the student hears with hearing aids or an implantCompare aided and unaided marks to see what the device adds
Shaded speech areaWhere everyday speech sounds fallSounds above the student's marks are hard to hear without devices

The type of hearing loss is conductive, sensorineural or mixed. The degree describes how loud sounds must be. ASHA's guidance on hearing loss in children explains types, degrees and how they affect speech and language.[1] Audiologists commonly describe degree with ranges like these:[2]

DegreeApproximate softest level heard
NormalUp to 15 dB HL
Slight16 to 25 dB HL
Mild26 to 40 dB HL
Moderate41 to 55 dB HL
Moderately severe56 to 70 dB HL
Severe71 to 90 dB HL
Profound91 dB HL or more

Use the audiologist's report for the student's actual type and degree. Ranges vary a little between sources.

Choosing the right goal

If the student...Area to targetMeasureData sheet
Cannot say which ear has more loss or what the loss is calledHearing vocabularyPercent accuracyAccuracy data sheet
Knows the words but cannot read the graphReading the audiogramPercent accuracyAccuracy data sheet
Wears devices but cannot say what they do or their limitsDevicesPercent accuracyAccuracy data sheet
Understands the audiogram but never explains it to anyoneExplaining to othersRubricRubric scoring data sheet

Hearing vocabulary goals

Start with words the student will need in every later goal: right, left, pitch, loudness, type and degree.

#GoalBaselineTemplate
1Given 8 questions about their own hearing, such as "Which ear hears better?", the student will answer 7 of 8 correctly in their preferred language on 3 consecutive probes.3 of 8Explain the parts of own audiogram
2Given 10 sounds on cards, the student will sort them into low pitch and high pitch with 9 of 10 correct on 3 of 4 probes.5 of 10Explain the parts of own audiogram
3When asked, the student will name the type of their hearing loss and explain it in one sentence on 3 of 3 probes.0 of 3Explain the parts of own audiogram
4When asked, the student will name the degree of their hearing loss for each ear and give one example of a sound they miss without devices on 3 of 3 probes.1 of 3Explain the parts of own audiogram
5Given 6 hearing words, such as decibel, hertz, aided and unaided, the student will define 5 of 6 correctly on 2 consecutive probes.1 of 6Name the parts of own hearing device

Weak: "The student will learn about hearing loss."

Measurable: "Given 8 questions about their own hearing, such as 'Which ear hears better?', the student will answer 7 of 8 correctly in their preferred language on 3 consecutive probes."

Reading the audiogram goals

Use a blank audiogram and the student's own. Let the student plot sounds before reading marks, so the graph makes sense.

#GoalBaselineTemplate
6Given their own audiogram, the student will point to and name the pitch axis, loudness axis, right-ear and left-ear symbols with 4 of 4 correct on 3 consecutive probes.1 of 4Explain the parts of own audiogram
7Given a blank audiogram and 8 picture cards of sounds, the student will place each sound in about the right area for pitch and loudness with 6 of 8 correct.2 of 8Explain the parts of own audiogram
8Given their own audiogram with the speech area shaded, the student will name 3 speech sounds they cannot hear without devices on 3 of 3 probes.0 of 3Explain the parts of own audiogram
9Given their own aided and unaided audiograms, the student will explain what their devices add, naming at least 2 sounds they hear only with devices, on 3 of 3 probes.0 of 3Explain the parts of own audiogram
10Given this year's and last year's audiograms, the student will say whether hearing in each ear stayed the same or changed, with 2 of 2 correct on 2 probes.0 of 2Explain the parts of own audiogram

Weak: "The student will understand their audiogram."

Measurable: "Given their own audiogram with the speech area shaded, the student will name 3 speech sounds they cannot hear without devices on 3 of 3 probes."

Devices and what they do goals

Link each device to the audiogram. A hearing aid makes sounds louder in the pitches marked as hard to hear. A remote microphone brings the teacher's voice close. A cochlear implant works differently, sending sound to the hearing nerve. None of them restores typical hearing.

#GoalBaselineTemplate
11Given their own hearing device, the student will name 5 parts and the job of each with 5 of 5 correct on 3 consecutive probes.2 of 5Name the parts of own hearing device
12Using their audiogram, the student will explain in 2 or more sentences why the remote microphone helps in class, scoring 3 of 4 on a rubric.1 of 4Explain own hearing to a teacher
13Given 6 listening situations, such as the gym or a video without captions, the student will say whether devices alone are enough and what else helps, with 5 of 6 reasonable answers.2 of 6Explain own hearing to a teacher
14When a device sounds different, the student will describe the problem using correct words, such as "weak," "static" or "whistling," on 4 of 5 opportunities.1 of 5Name what is wrong with a hearing device
15Before an audiology appointment, the student will write 2 questions or concerns to bring, on 2 of 2 appointments in the year.0 of 2Book an audiology appointment

Weak: "The student will know about their hearing aids."

Measurable: "Given their own hearing device, the student will name 5 parts and the job of each with 5 of 5 correct on 3 consecutive probes."

Explaining to others goals

The point of all the goals above is this area: telling teachers, peers and later employers what the student needs and why. Practice with role plays first, then real conversations.

#GoalBaselineTemplate
16Using their audiogram, the student will walk a teacher through their hearing, devices and 2 accommodations, scoring 10 of 12 on a presentation rubric.4 of 12Walk a teacher through own audiogram
17When meeting a substitute or new teacher, the student will explain their hearing and 1 thing the teacher should do, without a prompt, on 3 of 4 opportunities.0 of 4Explain own hearing to a teacher
18Given a 3-minute talk to classmates about hearing loss, the student will explain the audiogram and 2 ways peers can help, scoring 3 of 4 on a rubric.1 of 4Explain own hearing loss to classmates
19At the annual IEP meeting, the student will present the hearing section of present levels using their audiogram, scoring 3 of 4 on a self-advocacy rubric.1 of 4Explain own hearing to a teacher
20Given a role play of a job interview or college disability office visit, the student will explain their hearing and request 2 accommodations, scoring 10 of 12 on a rubric.5 of 12Explain own hearing to a teacher

Weak: "The student will advocate for their hearing needs."

Measurable: "Using their audiogram, the student will walk a teacher through their hearing, devices and 2 accommodations, scoring 10 of 12 on a presentation rubric."

How to measure progress

  • Vocabulary and graph reading: percent accuracy on a fixed set of questions about the student's own audiogram. Keep the questions the same across probes.
  • Explaining to others: rubric scoring with 3 or 4 rows the student has seen, such as accuracy, clarity, a reason for each need, and a clear request.
  • Device problems: opportunities, using planned checks.

Build the rubric with the student. A rubric row like "names the type and degree of loss for each ear" is concrete and easy to score. The rubric guide shows how to write rows. Accept answers in the student's language: a student who explains their audiogram in ASL has met the goal. Paste drafts into the goal checker.

Adapting by grade

Grade bandFocusExample
K to 2Right and left ear, loud and soft, high and lowSorts sounds into high and low
3 to 5Axes, symbols, speech sounds missedNames 3 speech sounds missed without devices
6 to 8Aided versus unaided, device limits, explaining to teachersExplains why the remote microphone helps
9 to 12Changes over time, audiology appointments, adult settingsExplains hearing in a job interview role play

These goals pair well with device care goals; see how to measure listening checks and hearing technology goals. For the broader set, see IEP goals for deaf and hard of hearing students and the auditory skills hierarchy. General self-advocacy goals examples show the same skills for other students. The low-incidence disabilities guide explains who writes which section.

Frequently asked questions

At what age can a student learn to read their audiogram?

Many students start with simple parts, such as which ear hears better and high versus low sounds, in early elementary school. Reading symbols and the speech area usually fits grades 3 to 5, and explaining it to others fits middle and high school.

Who teaches a student about their audiogram?

The teacher of the deaf usually teaches it, often with help from the educational audiologist, who can explain the student's latest test and answer questions.

Why does a student need to understand their audiogram?

It explains why each accommodation helps. A student who knows they miss high-pitched sounds can tell a teacher why a microphone or captions matter, which makes self-advocacy specific and believable.

Use it in IEP Atlas

Sources

  1. Hearing Loss in Children, ASHA
  2. Degree of Hearing Loss, American Speech-Language-Hearing Association (public site)

Written and checked by the IEP Atlas editorial team under our editorial policy. This guide describes general practice and federal rules. It is not legal advice; your state may add requirements, and the IEP team makes the decisions for each student.

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