Over the four years I have seen Nicole Ludke for my hearing needs, she has been exceedingly helpful and proficient, improving the functioning of my hearing aids. I see her twice a year to adjust and clean the devices and resupply me with batteries. She is always positive and helpful in attempting to solve my challenges, especially helping me to better understand the words of higher pitched voices, especially on the telephone. On my last visit with her, she made major increases in the volume and fitting the earpiece with a larger dome that fits my ear more snugly. Both these adjustments have improved my hearing significantly.