Inclusion Criteria:  A self-reported hearing loss. Aged between 18 and 75 years old.  Inclusion criteria for intervention group only:  Must already have an appointment arranged to receive a hearing aid for the first time.  Inclusion criteria for control group only:  No change in hearing aid status (including new models) for the past 1 year.  Exclusion Criteria:  Non fluent English speakers. (To maintain validity of results as English language questionnaires are used) Inability to read (In order to complete the questionnaires). Inability to visit on multiple occasions over 7 months (e.g. can't be planning to move away from the area). Inability to give full informed consent. Primary complaint of tinnitus.