Systems and methods for performing automated hearing tests using a hearing assistance device. A system may include a hearing assistance device and an interface device. The hearing assistance device may be configured to provide acoustic stimuli to a subject and the interface device may be configured to receive feedback from the subject in response to the acoustic stimuli. The system may generate results from the automated hearing test including hearing threshold levels. The results may be used to automatically adjust the hearing assistance device or may be automatically communicated. The results may also be communicated to a computing device of the system where a hearing professional may evaluate the results, recommend additional testing or manually adjust the hearing assistance device from the computing device.