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I would add, to really test, after turning on voice over, turn off your monitor. This will let you test if you can explore your website with the visual structure.

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Don't do this - the best way to evaluate is to compare the visual output with the auditory output, something you can't do if the screen is turned off.

The two practices are not mutually exclusive. Why not test against both?

I sort of agree, from my experience, I know what to expect when I see something, so seeing and hearing helps me quickly spot the issue.

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