Screening older adults for hearing impairment by periodically questioning them about their hearing, counseling them about the availability of hearing aid devices, and making referrals for abnormalities when appropriate, is recommended. There is insufficient evidence to recommend for or against routinely screening older adults for hearing impairment using audiometric testing (see Clinical Intervention). There is also insufficient evidence to recommend for or against routinely screening asymptomatic adolescents and working-age adults for hearing impairment. Recommendations against such screening, except for those exposed to excessive occupational noise levels, may be made on other grounds (see Clinical Intervention). Routine hearing screening of asymptomatic children beyond age 3 years is not recommended. There is insufficient evidence to recommend for or against routine screening of asymptomatic neonates for hearing impairment using evoked otoacoustic emission testing or auditory brainstem response. Recommendations to screen high-risk infants may be made on other grounds (see Clinical Intervention). Clinicians examining infants and young children should remain alert for symptoms or signs of hearing impairment.