Users interact with mobile devices through menus, which can include many items. Auditory menus have the potential to make those devices more accessible to a wide range of users. However, auditory menus are a relatively new concept, and there are few guidelines that describe how to design them. In this paper, we detail how visual menu concepts may be applied to auditory menus in order to help develop design guidelines. Specifically, we examine how to optimize the designs of a new contextual cue, called "spindex" (i.e., speech index). We developed and evaluated various design alternatives for spindex and iteratively refined the design with sighted users and visually impaired users. As a result, the "attenuated" spindex was the best in terms of preference as well as performance, across user groups. Nevertheless, sighted and visually impaired participants showed slightly different responses and feedback. Results are discussed in terms of acoustical theory, practical display design, and assistive technology design.