The Accessibility Checker will generate a detailed report of all problems and suggestions for fixing them. If problems are found, you will usually run this report several times as you progress though the repair process.
Menu: Tools > Accessibility > Full Check
If accessibility errors are found, the full check Accessibility Report appears on the right side of the screen. Right clicking on the error will bring up a variety of options to fix the problem.
Please address all issues
Read out Loud
Adobe Acrobat has a very basic screen reader build into the the Application.
To active: View > Read out Loud > Activate
To use: View > Read out Loud > Read this page only (or document)