Talk between people with and without hearing difficulties can often prove uncomfortable. As with people who have visual impairment, people with hearing loss differ greatly: Some are totally deaf and can hear nothing, others have some hearing loss and can hear some sounds, and still others have impaired hearing but can hear most speech. Although people with profound hearing loss can speak, their speech may appear labored and may be less clear than the speech of those with unimpaired hearing. Here are some suggestions for more effective communication between people who hear well and those who have hearing problems. These suggestions were drawn from a variety of sources: Tips for Communicating with Deaf People (Rochester Institute of Technology, National Technical Institute for the Deaf, Division of Public Affairs), http://www.his.com/~lola/deaf.html, http://www.zak.co.il/ deaf-info/old/comm_strategies.html, http://www.agbell.org/, http://www.dol.gov/odep/pubs/fact/comucate.htm, www.ndmig.com, www.mass.gov, and http://spot.pcc.edu/~rjacobs/career/communication_tips.htm.