A device or a method using the device includes a balloon configured to seal a user's orifice, where the balloon is configured to produce an acoustic seal between a first side and a second side of the balloon in an ear canal. At least a second side of the balloon is fitted into the ear canal. Audio processing circuitry produces an audio signal for driving a speaker in the device and to measure sound level using output from the microphone in the device while the speaker is being driven by the audio signal. The device or method further includes control circuitry to evaluate a seal quality of the device. Other embodiments are disclosed.