A speech reception threshold (SRT) is obtained by asking patients to repeat familiar bisyllabic words (e.g. baseball) at gradually decreasing intensity (loudness) levels, until the level of the softest words that can be repeated is identified. Then pure tone audiometry begins. Patients are asked to push a button or raise their hand when a tone is heard. A pure tone audiogram is generated, which is a graph indicating thresholds at the various frequencies (pitches) tested, from low to high.