Hearing loss is one of the most disabling sensory deficit which affects the cognitive and communication skills and is the second most 1 common disability worldwide . Hearing impairment (HI) results in social, psychological and professional hurdles being leading causes of years 1 lived with disability (YLDs). To overcome the impact of HI, Individual Sound Amplification Devices (ISAD) including Hearing aids (HAs) and cochlear implants (CI) are currently the principal means of auditory rehabilitation. They help improve speech, and environment sounds perception, however there are a lot of resistances to their use in daily life. This may be due to the cost and cosmetic concerns or lack of sufficient perceived benefit. Therefore the perception of positive benefit of ISAD's on the Quality of life and the functional 2 status is essential. Assessment of satisfaction to amplification is of utmost importance in rehabilitation since it demonstrates client response to ISAD and improvements required in areas like interaction between clinician and client, accessibility, availability and continuity of services, client convenience, physical settings, and financial 6 considerations etc. During the ISAD fitting process, self-assessment of client is an effective measure for evaluation during the fitting and it also allows ISAD comparison, their calibration and benefit. A number of assessment tools to access the level of satisfaction through different dimensions have been developed including Satisfaction with Amplification in Daily Life (SADL) developed in 6 English by Cox & Alexander . It quantifies satisfaction in a multidimensional way using four subscales including Positive Effects, Cost and Services, Negative Factors and Personal Image. SADL has good construct validity, test retest Since the demonstration of positive impact of a service is essential in this consumer focused era, hence, hearing aid satisfaction is used an outcome measure for the evaluation of performance. A variety of tools/self-report measures have been designed and used for assessment to access satisfaction through a number of dimensions including the cost, appearance, acoustic benefit, 3-5 comfort, and service etc. INTRODUCTION Objective: To translate the "Satisfaction with Amplification in Daily Life" (SADL) questionnaire to Urdu and evaluate its reproducibility for Urdu speaking Pakistani population. Methodology: This cross sectional study was conducted in Capital Hospital, Islamabad, from April to August 2017 in which 70 hearing aid users of both genders, aged 20-60 years were recruited using convenience sampling. Cases with infective ear and those using cochlear implants were excluded from the study. Study included translation into Urdu and pilot testing followed by SADL-Urdu administration on 60 users. Statistical analysis was done using SPSS version 20. Conclusion: SADL-Urdu is a simple, easily applicable and reliable tool for multidimensional evaluation of satisfaction of Urdu speaking hearing aid user. (Rawal Med J 202;45:665-668). Results: Pilot study revealed comparable results of English and Urdu questionnaire with global score of 5.22+0.43 for English and 5.31+0.44 for the Urdu SADL. Main study revealed very good satisfaction level with questions number 2, 4, 12, 13; a good satisfaction level with question 3,5,7- 11,14,15; while a lower satisfaction with questions 1. A very good satisfaction associated with Personal image subscale and lesser with the service and costs subscales. Keywords: Disability, hearing loss, cochlear implant. 665 Translation of the satisfaction with amplification of daily life questionnaire in Urdu for Pakistani population Nazia Mumtaz, Ghulam Saqulain, Fatika Noor Capital Hospital PGMI, Army Special Education Academy, Isra University, Islamabad, Pakistan Rawal Medical Journal: Vol. 45. No. 3, July-Sept. 2020 Original Article