Dr. Litchfield requests assistance conducting a needs assessment for hearing services in a five-county area. The assessment should consider population demographics from the National Institute on Deafness and Other Communication Disorders, analyze Timberline Health's electronic health records and data, and design a 5-10 question screening questionnaire to identify hearing needs in primary care clinics per the Six Steps for Creating an Effective Questionnaire guidelines. Other factors influencing hearing needs in the community should also be examined.