If you use Windows, I suggest NVDA - it's a free screen reader that's similar to the most-popular-but-expensive one (JAWS):
https://www.nvaccess.org/download/
IMHO the best screen readers are on your phone / tablet. This might sound crazy (how can a touchscreen work when you can't see it?) but they're much better designed than their desktop equivalents. Mobile software tends to be simpler, resulting in a better experience: