One assessment for adult hearing is the speech reception threshold (SRT). This is used with older children and adults, and helps to confirm the pure-tone test results. The SRT records the faintest speech that can be heard half the time. The audiologist will also record word recognition or the ability to correctly repeat back words at a comfortable loudness level.

Speech testing may be done in a quiet or noisy environment. Difficulty understanding speech in background noise is a common complaint of people with hearing loss, and this information is helpful.