PURPOSE: To investigate the perception of community health workers about the aspects related to hearing and communication health of users of a family health program. METHODS: Cross-sectional observational study with questionnaire application to 85 community health workers. Twenty hypothetical situations were investigated, addressing issues related to Speech-Language Pathology and Audiology present in their routine. The variables analysed were: age, work experience, education, perception of health risks in the areas of voice, orofacial myology, language and audiology. RESULTS: The mean age of the agents was 38 years (±9.1), and their mean time of experience in the family health program was 5 years (±2.9). It was observed that 80 professionals (94%) had at least complete high school education, and all were female. Among the hypothetical situations investigated, the workers showed to have the perception of risk and attitude to take it to discussion with the team in 49% of the situations involving risks to hearing health, 53% risk to vocal health, 60% and 62% risks related to orofacial myology and language, respectively. There was no relationship between time of experience and the perception of risks. CONCLUSION: The community health workers have perception of many risk situations to hearing and communication health of the population, especially regarding voice and orofacial structures and functions. Community health workers need to go beyond the conceptual and procedural abilities and competencies regarding the health of human communication, because of the idea of professionals with attitudinal skills.