Comprehensive Audiology Testing

Our Testing Sequence

Standard Audiometric Tests

We conduct essential audiometric tests to assess your hearing capabilities, ensuring a thorough understanding of your auditory health.

Supplementary Assessments

In addition to standard tests, we offer supplementary assessments that serve as cross-checks, providing a more complete picture of your hearing health.

Our Standard tests

Note that tests marked with * are considered audiology-specific, are sometimes omitted from test batteries, or are not commonly done in standard hearing aid stores or retail hearing care settings.


  • Otoscopy or visual examination
  • Tympanometry
  • Acoustic reflexes*
  • DPOAE testing*
  • Pure tone audiometry
  • Uncomfortable loudness testing*
  • Speech Testing
  • SRT - Speech reception thresholds
  • MCL - Most comfortable level
  • WRS or word recognition scores,
  • UCL or LDL - Uncomfortable Loudness for speech, or Loudness Discomfort level for speech. 
  • Speech in noise testing* - QuickSIN. 


Special tests

Beyond Audiometry

There are select several other even less commonly used tests, which we use to help clarify the clinical presentation of certain conditions. Your report may occasionally contain one or more of these when relevant, along with an interpretation of the results.

This test is used as a cross-check for retro-cochlear hearing loss.

A continuous tone is presented to the patient for a set amount of time. If the patient loses the ability to hear the tone, the audiologist increases the intensity by 5dB HL until the patient can hear the tone again. An increase of more than 15dB HL over a minute suggests retro-cochlear dysfunction, while little to no increase in loudness is more suggestive of cochlear dysfunction.


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Confidence with bilateral conductive

This test may be used in bilateral conductive hearing loss cases, especially when masking is impossible due to masking dilemmas. With this test, masking noise is delivered via a bone-conduction transducer. If cochlear function is intact, adding noise directly to the cochlea will elevate the air conduction thresholds of the test ear. If air conduction thresholds do not change with SAL testing, the test results may suggest that the hearing loss itself is sensorineural in nature, rather than conductive.  It can provide confidence in the conclusions drawn from pure tone audiometry.

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Competitive rates

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Beyond the standard range

Whereas standard audiometry measures thresholds in the 0.125-8Khz range, high-frequency audiometry examines thresholds from 9Khz-20Khz. Thresholds are determined in the same way as standard frequency audiometry. High-frequency audiometry is most often used in industrial noise exposure monitoring, ototoxicity screenings and can aid in identifying hearing loss-related tinnitus. 

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The rollover test

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A longer speech in noise test that shares some similarities with the QuickSIN test.

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Spatial noise processing test

An adapted speech in noise test that tests spatial hearing abilities in the presence of background noise.

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The Cross-Check Principle

At Audiology First, we prioritize accuracy in hearing assessments. Our commitment to the cross-check principle ensures that we validate test results through multiple methodologies, providing you with reliable and consistent findings.

  • What is the cross-check principle?

    The cross-check principle involves using various testing methods to confirm hearing test results, enhancing the reliability of our assessments.

    This approach minimizes the risk of errors and ensures that our findings are robust and trustworthy.

  • How does Audiology First implement this principle?

    We utilize a combination of  subjective and objective tests, alongside the patient's case history and self reported difficulties to generate our reports.


    By integrating these diverse testing techniques, we can accurately diagnose hearing conditions and tailor appropriate treatment plans.

  • Can I trust the results from Audiology First?

    Absolutely. Our rigorous testing protocols and adherence to the cross-check principle mean you can rely on our results.

    We are dedicated to providing evidence-based audiology services that prioritize patient care.

  • What should I expect during a hearing test?

    Your patient will undergo a series of tests designed to evaluate your hearing capabilities comprehensively.

    The clinician will explain each step and ensure the patient feels comfortable throughout the process.

  • How can I get started?

    Getting started is easy. Simply refer the patient to contact Audiology First and our team will get the patient scheduled for a hearing assessment.

  • What is the cost?

    Hearing tests are free for all adults at Audiology First