Enter District Name Here Speech Sound Production and Use Assessment Summary Date:  



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Enter District Name Here

Speech Sound Production and Use Assessment Summary

Date:      

Student’s Full Name:

     

SSID:

     

Date of Birth:

     

Grade:

   

School:

     

Age:

   

SLP:

     

Communication Assessment:

     

  1. INTELLIGIBILITY

  1. Clinician’s judgment of connected speech intelligibility:

intelligible

occasionally unintelligible and/or noticeably in error

frequently unintelligible

unintelligible or only intelligible when the listener has knowledge of the context

  1. Clinician’s judgment of connected speech intelligibility:

conversation with clinician

classroom observation

other, specify:      

2. SOUND SYSTEM

Standardized test(s) administered

Date

SD

Percentile

SS

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Comments:      




  1. ERROR TYPE

a. Sound errors or phonological processes typical of a child of younger age (list):

     


     

  1. Unusual or atypical sound errors or phonological processes (list):

     

     





Student’s Full Name:

     

SSID:

     




  1. Phonetic Inventory (an X indicates the sound is not present in any context):



pencil



toe



fan



send



thin



key



path



be



duck



TV



zoo



then



bib



hop



man



go



run



ship



jump



chair



dog



nose



kite



her



chip



pleasure



bed



toe



house



leaf



wet



ring



hat



foot



bye



who



boy



nut



cow



head



way



again



no



yes




Comments:      

  1. SPEECH MECHANISM STRUCTURE AND/OR FUNCTION

    adequate for speech

    significantly affects speech

    mildly affects speech

    inadequate for speech

    Comments:      

  2. INFORMAL ASSESSMENT INFORMATION (information from observation, interview, etc.):

     




| Page Speech Sound Production and Use Assessment Summary

February 2012





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