Many people notice subtle changes in their hearing before deciding to schedule a professional evaluation. If you have never had your hearing tested before, you may wonder what actually happens during the appointment. Hearing evaluations follow established clinical guidelines, such as those outlined by the American Speech-Language-Hearing Association.
A comprehensive hearing evaluation is simple, comfortable, and designed to measure both how well you hear sounds and how clearly you understand speech. Understanding the process can make it easier to take the next step toward better hearing health.
If you are already noticing symptoms such as difficulty following conversations or turning up the television volume, you can also read about the common early signs of hearing loss in our related article.

Meeting With Your Audiologist
A hearing evaluation usually begins with a conversation about your hearing concerns and medical history. Your audiologist may ask questions such as:
- When did you first notice changes in your hearing?
- Do you have difficulty hearing conversations in background noise?
- Do you experience ringing in the ears (tinnitus)?
- Have you had exposure to loud noise at work or during hobbies?
This discussion helps the audiologist understand your symptoms and determine the most appropriate testing approach.
Examination of the Ear Canal
Next, the audiologist will perform a quick visual inspection of your ears using an instrument called an otoscope. This allows the clinician to check for conditions that could affect hearing, such as:
- earwax buildup
- inflammation or infection
- abnormalities of the ear canal or eardrum
This step takes only a few moments and helps ensure that the rest of the hearing evaluation will produce accurate results.
Pure Tone Hearing Testing
Most hearing evaluations include pure tone audiometry, which measures the quietest sounds you can hear at different pitches.
During this test:
- You will wear headphones.
- A series of tones will be played at different volumes.
- You simply indicate when you hear the sound.
These responses allow the audiologist to create an audiogram, which is a graph that shows your hearing sensitivity across different frequencies.
Speech Understanding Testing
In addition to hearing tones, it is important to measure how well you understand speech.
During speech testing, you will listen to recorded words and repeat them back. This helps determine how clearly your ears and brain work together to process spoken language.
Speech testing often provides valuable insight because some individuals can hear sounds but still struggle with speech clarity.
Testing Speech in Background Noise
Many people first notice hearing difficulties in environments with background noise, such as restaurants or social gatherings.
Advanced hearing evaluations may include tests that measure speech understanding in noisy environments. This type of testing helps identify situations where hearing may be especially challenging and can guide treatment recommendations.
Many Arvada residents notice hearing difficulty during group conversations in restaurants along Olde Town Arvada, which makes this type of testing particularly valuable.

Reviewing the Results
After testing is complete, the audiologist will review the results with you and explain what they mean.
This discussion may include:
- whether your hearing falls within normal limits
- whether hearing loss is present
- possible treatment options
- strategies to improve communication
If hearing loss is identified, the audiologist will discuss personalized recommendations based on your hearing needs and lifestyle.
When to Schedule a Hearing Test
Hearing changes often develop gradually, which is why many people delay evaluation longer than necessary.
You may benefit from a hearing test if you:
- frequently ask others to repeat themselves
- have difficulty understanding conversations in noise
- turn up the television volume more than others prefer
- feel that speech sounds muffled or unclear
Early evaluation provides clarity and peace of mind. Addressing hearing concerns sooner often makes treatment simpler and more successful.
If you would like to learn more about where to schedule a professional hearing evaluation locally, you can read our guide on where to get a hearing test in Arvada.
Schedule a Hearing Evaluation
Denison Hearing is an audiologist-owned and operated practice that is proud to serve west Arvada and the surrounding communities. If you are concerned about your ability to understand speech clarity, you are at the right spot.
We measure both hearing levels and your ability to understand speech in background noise. Audiologist Margaret Denison is committed to providing individualized care and quality services.
Appointments for a professional hearing evaluation may be requested online here.
