Update: Had my wife on the phone in a number of situations in a number of sensitivity settings just a moment ago.
Firstly, we noticed that the robot voice will come and go. It was very inconsistent. It doesn't seem to correlate to vehicle speed, although when the robot voice is at its worst it can be understood when stopped but not at all in motion. The inconsistency leads me to believe that bluetooth connection quality is causing this symptom.
Microphone sensitivity (in module "77 - telephone," adaptation) didn't have much of an effect on robot voice, but it was interesting that she commented how much more clearly she could hear me with LOWER sensitivity. Default sensitivity for my car was 0db. She commented that 4db was almost the same, maybe a bit worse. Then, at -2db, she mentioned that my voice (I was speaking at indoor volumes) was far clearer than the best instances at 4db. Even when moving at 60mph. Even so, the robot voice was a problem and still a deal breaker if I wanted to use this every day.
So I started playing around with other adaptation settings. Disabling CDMA detection (I have sprint, a CDMA carrier) made everything worse. Even she had a hard time getting through to me. Then I tried output tests. The audio output test was a revelation - it spits out whatever the mic hears into the car speakers. It is not what my wife hears, but what goes to the Bluetooth peripheral. I drove around, whistling, to hear the noise rejection do its thing (this was at -2db). I pumped up the DB rejection to 4db, but then the module kinda failed on me. It errored out of the audio output test and vcds wouldn't get me back into the module. Fortunately, the module still works fine (albeit stuck at the worst setting).
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