Speech reception testing is obtained using small foam insert earphones which are placed in your ears. The audiologist will ask you to repeat several two syllable words as the volume of their voice decreases. This is used to determine the softest level which you can successfully repeat back the words 50% of the time. Speech identification scores are obtained in a similar fashion, as you will be asked to repeat back several one syllable words. However, for this test, the words are presented at a comfortable volume. This is a measure of how well you can identify spoken words in a quiet listening situation, without visual cues, at a volume you can easily hear.