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Forms for Back to School Assessment Preparation

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Back to school time is just around the corner and if your job is anything like mine then you are getting ready to perform a number of speech language screenings and assessments after the kids get back to school in September.  In order to optimize the assessment process I’ve created a number of checklists and forms for my (and your convenience). They allow for quick and efficient determination of whether the preschool/school age monolingual/bilingual student in question requires any speech language services including: screening, assessment, future follow-up, or on-going monitoring. Please note that for bilingual students it is recommended that parents mark whether the child presents with deficits in one language or in both on the checklists (e.g., mark R, E, or B – Russian, English or both).

  • R  difficulty following 3+step directions containing concepts of time or location (before/after/to the left)
  • E  difficulty understanding basic concepts in the classroom
  • B  difficulty responding appropriately to simple questions (who/what/where/when)

Speech Language Assessment Checklist For A Preschool Child is a 9 page guide created to assist speech language pathologists in the decision making process of how to select assessment instruments and prioritize assessment for preschool children 3:00-5:11 years of age. The goal is to eliminate administration of unnecessary or irrelevant tests and focus on the administration of instruments directly targeting the areas of difficulty that the child presents with.

It contains:

  • Page 1 Title
  • Page 2 Directions
  • Pages 3-5 Checklist
  • Pages 6 Suggested Speech-Language Test Selection for Preschool Children
  • Page 7  Select Language Testing Battery Suggestions
  •  Page 8-9 Supplemental Caregiver/Teacher Data Collection Form

Checklist Target Areas:

  1. Receptive Language
  2. Memory, Attention and Sequencing
  3. Expressive Language
  4. Speech
  5. Voice
  6. Resonance
  7. Phonological Awareness
  8. Problem Solving
  9. Pragmatic Language
  10. Social Emotional Development
  11. Executive Functions

Speech Language Assessment Checklist For A School-Aged Child is a 12 page guide created to assist speech language pathologists in the decision making process of how to select assessment instruments and prioritize assessment for school age children. The goal is to eliminate administration of unnecessary or irrelevant tests and focus on the administration of instruments directly targeting the areas of difficulty that the child presents with.

It contains:

  • Page 1 Title
  • Page 2 Directions
  • Pages 3-6 Checklist
  • Pages 7-8 Suggested Speech-Language Test Selection for School-Aged Children
  • Page 9  Select Language Testing Battery Suggestions
  •  Page 10-12 Supplemental Caregiver/Teacher Data Collection Form

Checklist Target Areas:

  1. Receptive Language
  2. Memory, Attention and Sequencing
  3. Expressive Language
  4. Vocabulary
  5. Narrative
  6. Speech
  7. Voice
  8. Resonance
  9. Phonological Awareness
  10. Problem Solving
  11. Pragmatic Language
  12. Social Emotional Development
  13. Executive Functions

Auditory Processing Deficits Checklist for School Aged Children was created to assist speech language pathologists (SLPs) with figuring out whether the student presents with auditory processing deficits which require further follow up (e.g., screening, comprehensive assessment). The SLP should provide this form to both teacher and caregiver/s to fill out to ensure that the deficit areas are consistent across all settings and people.

Checklist Categories:

  • Listening Skills and Short Term Memory
  • Verbal Expression
  • Emergent Reading/Phonological Awareness
  • General Organizational Abilities

  • Social Emotional Functioning
  • Behavior
  • Supplemental* Caregiver/Teacher Data Collection Form
  • Select assessments sensitive to Auditory Processing Deficits

Social Pragmatic Deficits Checklist for School Aged Children was created to assist speech language pathologists (SLPs) with figuring out whether the student presents with social pragmatic language deficits which require further follow up (e.g., assessment). The SLP should provide this form to both teacher and caregiver/s to fill out to ensure that the deficit areas are consistent across all settings and people.

Checklist Categories:

  • Listening/Processing
  • Verbal Expression
  • Problem Solving
  • Pragmatic Language Skills
  • Social Emotional Development
  • Behavior
  • Supplemental* Caregiver/Teacher Data Collection Form
  • Select assessments sensitive to Social Pragmatic Deficits

You can find these products by clicking on the individual links above. You can also find many other educational products relevant to assessment and treatment in speech language pathology in my online store by clicking HERE.

Happy and successful new school year everyone!

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