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Individuals in management positions often face similar communication demand even though job functions can vary widely. The very first step for employees in this occupation should be a trip to a hearing healthcare provider to determine if hearing aids will improve communication. Managers often lead meetings and while one-on-one meetings may be easy, group meetings introduce challenges. They must be able to understand clearly on the phone with co-workers and customers. Some people in leadership roles don't realize the extent of their hearing loss or deny the how their hearing loss actually impacts their performance. They are also reluctant to use technology. Once they realize the impact of hearing loss on how co-workers perceive their ability, they are more motivated to find solutions like the ones in this report.