Hearing Assessments

Hearing Test (Pure Tone Audiogram)

The fancy name for this is the Pure Tone Audiogram. A set of headphones will be placed on your ears and a series of beeps and whistles will be played through them. You will respond every time you hear one of the sounds. The profile indicates how sensitive your hearing is. For more detailed information see our Blog

Medico/legal PTA

These are similar to the Hearing Test with additional information collected so that the information can be presented in a court of law. They are usually conducted for clinical negligence, road traffic accident or noise induced hearing loss cases.

Threshold Equalising Noise Test (TEN Test)

The Threshold Equalising Noise test is used to identify areas of your hearing that may have changed significantly. This is known as a cochlear dead region. This information allows a greater understanding of the hearing. The information from the TEN test can be used in conjunction with the PTA to fine tune hearing aids specifically for your hearing ability.

Uncomfortable Loudness Levels (ULL)

This test indicates when you begin to find sounds uncomfortable. It can highlight potential sensitivity to louder noises. The ULL information is also used when fitting any hearing technology to ensure that sounds are not enhanced beyond your comfort levels.

Speech in Quiet Tests

Speech tests are carried out to indicate how well you can interpret speech in quiet surroundings. Single words or short sentences are presented via headphone or loudspeaker and you have to repeat what you hear. It indicates a persons ability to hear and comprehend a complex signal.

Speech in Noise Tests

There are a number of speech in noise tests that can be used but we favour Quick-Sin. This test measures your ability to hear when back ground noise is present. Almost everyone struggles to follow conversation in a noisy environment and this type of hearing profiling can help to measure your ability to hear in challenging listening situations. The profile can also be used to assist in choosing appropriate hearing technology if required.


This is sometimes called the pressure test. This measurement indicates how your middle ear is functioning. It provides a visual graphic representation of the movement of your ear drum. It is a useful test that can indicate and highlight a range of middle ear disorders. Tympanometry is great for highlighting the presence of conditions such as 'glue ear', perforated tympanic membranes, otosclerosis, ossicular discontinuity and hyper-flaccidity. 

Acoustic Reflex Test

Behind your eardrum you have some small muscles in the middle ear space.The acoustic reflex is an involuntary contraction of your muscles which are stimulated in a response to a series of high intensity sounds played into the ear. This test is used to identify potential difficulties within the middle ear, cochlea and on the pathway to the auditory cortex.

Eustachian Tube Dysfunction Test (ETD Test)

Eustachian Tube Dysfunction Test can determine if your eustachain tube is working efficiently. The purpose of the eustachain tube is to help equalise your middle ear pressure to outside pressure. Your eustachian tube opens when you swallow, yawn or blow your nose. If you’re eustachian tube is not working efficiently, it can cause a dullness in hearing or a fullness/blocked sensation of the ears.


Otoscopy is a visual examination of the ear canal and eardrum carried out by your audiologist. Your audiologist will use a small torch like piece of equipment, called an otoscope,  to check on the health of your ear.

Video Otoscopy

Video Otoscopy allows both you and your audiologist to see down inside your ear to check on your healthy ears. An image is projected onto a monitor so that you can see in real time exactly what is happening within your ear canal.