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Licensing Exam


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Frequently Asked Questions

We have compiled the typical questions that we receive about the ILE. Click on the question below to display the answer. Should you have additional questions, feel free to contact us at

How  many questions are on the ILE?


The examination is comprised of one hundred and five (105) multiple-choice items. There are 80 scored and 25 non-scored (pilot) items.


How much time is given for the examination?


Candidates are allowed one hundred and twenty (120) minutes, or two hours, to complete the examination from the time it starts. 


When will I get my exam results?


It varies. Each licensing agency communicates exam results to candidates differently. IHS processes exam scores weekly and sends them to the licensing agency, except for Colorado, Texas, and Utah. Colorado, Texas, and Utah candidates will receive their exam results directly from IHS within one week of taking their exam.


How is the exam scored?


The examination utilizes dichotomous scoring, meaning the answer selections are either right or wrong. The test-taker will earn one (1) point for getting the question correct and zero (0) points for getting the question wrong (incorrect).


Who decides if a candidate passes or fails the examination?


It is up to each state/provincial licensing agency to determine if the test-taker passed or failed the examination. The International Hearing Society is not permitted to share performance information directly with candidates, except for Colorado, Texas, and Utah candidates.

Please note: The states of Colorado, Texas, and Utah have adopted the IHS recommended passing score. Colorado, Texas, and Utah candidates will receive their score report directly from the International Hearing Society.


What is the passing score?


IHS recommends that licensing bodies only report pass/fail decisions based on overall exam performance. The IHS recommended passing score is on a raw score (i.e., number correct) scale. As IHS creates new operational forms as part of ongoing test maintenance, the new forms may not be of the exact same difficulty as the previous test forms. If the difficulty of the form changes, keeping the exact same passing score would not be appropriate. Therefore, the actual passing score may change, but the meaning of the passing score (i.e., the level of knowledge and skills required for a passing score) would remain the same.

In order to prevent confusion regarding passing scores when candidates take the test multiple times (using different forms), IHS recommends that licensing boards only report pass/fail decisions to candidates (as opposed to raw scores or percent correct scores).


What topics are covered on the exam?


This assessment is based on the Competency Model. The Competency Model identifies the competencies against which the candidates will be measured. It also indicates the weight (%) of each competency or group of competencies. It can be found here as well as in the Study Guide, the Trainer Manual, and ILE Test Prep.


Which textbooks and reference materials are recommended to study for this examination?


A list of reference materials is provided here. The pool of test questions has been developed using these references. No single reference alone can be recommended to use for your studies.


What should I study?


Candidates should be able to understand and apply all of the concepts in the Competency Model. This examination tests the candidate’s ability to apply the theory taught in the textbooks to real-life patient/client scenarios. Every question on the examination is referenced to one or more of the books listed in the Recommended Reference Materials. Candidates can also subscribe to ILE Test Prep to help familiarize themselves with the style of questions on the exam.


Can I appeal my examination result?


There is no appeal process for challenging individual examination questions, scoring, or results.


Can I apply for accommodations?


Yes, candidates may go to the following page to learn how to apply for accommodations.


Which states and provinces are currently using the International Licensing Examination for Hearing Healthcare Professionals?


A list of current exam customers can be found here.


What does the overall exam process look like?


A flowchart showing the exam process can be found here.