People don't know what a hearing impaired person doesn't hear or understand. People assume everyone is hearing. So when asked to repeat they often say the same thing with the same poor result. For me certain places or situations are impossible for oral communication like noisy places or over the speakers at drive-up windows. I mostly just avoid putting myself in that position if possible.

Sometimes avoiding is impossible. If I can't understand someone I often gesture that I don't understand, without speaking, pointing to my ear. Or I have found that using Sorenson Buzz Cards (phone app) is helpful. I can type in something like "#1, no fries, to go please" at McDonalds and show them the text on the phone without voicing anything. Or I have another screen prepared that reads "I'm unable to understand you - please write" and have a paper and pencil for them. The more I speak the more they talk back in a way I can't understand. People generally don't know how to communicate with someone who is deaf or hard of hearing, so we have to tell them how to communicate with us. Some people understand right away and some never get it.

I also use an Oticon Connect Clip. I find it important to be prepared to use it. People don't realize how long it takes to turn on the Connect Clip and change hearing aid program on a phone or remote control. So I try to do all that before ever engaging a conversation with that device. I've had great success with speakers wearing the Connect Clip, they are very cooperative.

Sometimes I sign (ASL) as I speak and that is enough for some people to realize that I'm hearing impaired and respond appropriately. Once in a great great while someone will actually know ASL. That's very rare.

I advocate for hearing loops whenever I get a chance. I've asked our local bank to install a loop system at the drive-up window and I've asked the VA clinic to install a loop system at the check-in desk. Those countertop systems are inexpensive and work well (after people learn how to use them). AWARENESS is a big key to successful communication