

The person may only have occasional hearing difficulty, particularly with softer sounds, soft conversational speech, or hearing from a distance.
Someone with a moderate hearing impairment may only hear adequately well when the sound source is nearby (within 3-5 feet) and the volume is a little louder than normal. Adverse listening conditions such as distance and background noise increase the hearing difficulty significantly.
Average level speech sounds become difficult, if not impossible, to understand even in a quiet setting. Loss of visual cues, as when the speaker's back is turned, may result in total loss of ability to track conversational speech.
A person with a severe loss can only perceive loud sounds. Shouted speech may be heard from a close distance.
This describes someone with no functional hearing ability, what we often refer to as "deafness".