Aim : The purpose of this study was to examine the impact of simulated hearing loss on the acoustic contrasts between declarative questions and declarative statements and on the perception of speech intonation. A further purpose of the study was to investigate whether any such effects are universal or language specific. Method: Speakers included four native speakers of English and four native speakers of Mandarin and Taiwanese, with two female and two male adults in each group. Listeners included ten native English and ten native speakers of Mandarin and Taiwanese, with five female and five male adults in each group. All participants were aged between 19 and 55 years old. The speaker groups were asked to read a list of 28 phrases, with each phrase expressed as a declarative statement or a declarative question separately. These phrases were then filtered through six types of simulated hearing loss configurations, including three levels of temporal jittering for simulating a loss in neural synchrony, a high level of temporal jittering in combination with a high-pass or a low-pass filter that simulate falling and rising audiometric hearing loss configurations, and a vocoder processing procedure to simulate cochlear implant processing. A selection of acoustic measures was derived from the sentences and from some embedded vowels, including /i/, /a/, and /u/. The listener groups were asked to listen to the tokens in their native language and indicate if they heard a statement or a question. Results: The maximum fundamental frequency (F0) of the last syllable (MaxF0-last) and the maximum F0 of the remaining sentence segment (MaxF0-rest) were found to be consistently higher in declarative questions than in declarative statements. The percent jitter measure was found to worsen with simulated hearing loss as the level of temporal jittering increased. The vocoder-processed signals showed the highest percent jitter measure and the spread of spectral energy around the dominant pitch. Results from the perceptual data showed that participants in all three groups performed significantly worse with vocoder-processed tokens compared to the original tokens. Tokens with temporal jitter alone did not result in significantly worse perceptual results. Perceptual results from the Taiwanese group were significantly worse than the English group under the two filtered conditions. Mandarin listeners performed significantly worse with the neutral tone on the last syllable, and Taiwanese listeners performed significantly worse with the rising tone on the last syllable. Perception of male intonation was worse than female intonation with temporal jitter and high-pass filtering, and perception of female intonation was worse than male intonation with most temporal jittering conditions, including the temporal jitter and low-pass filtering condition. Conclusion: A rise in pitch for the whole sentence, as well as that in the final syllable, was identified as the main acoustic marker of declarative questions in all of the three languages tested. Perception of intonation was significantly reduced by vocoder processing, but not by temporal jitter alone. Under certain simulated hearing loss conditions, perception of intonation was found to be significantly affected by language, lexical tone, and speaker gender.