Results: Responses on the IOI-HA for adults in the current study were comparable to reported results from other countries. Interview responses from over half of participants fell into four broad areas: speech (in quiet and noise), traffic sounds, listening to music, and birds. Conclusions: Nicaraguan responses on the IOI-HA were similar to previous reports from other countries. However, it was difficult for patients to complete the questionnaire independently, supporting the need for a culturally relevant assessment tool. Based on the literature review and the responses of participants, a hearing aid benefit tool was constructed for use with amplification recipients in Nicaragua.