Speech and Language Evaluation Checklist
Client Information
Name:
Date of Birth:
Date of Assessment:
Assessor:
Speech
Area
Within Normal Limits
Needs Further Evaluation
Observations/Comments
Articulation
Voice
Fluency
Language
Area
Within Normal Limits
Needs Further Evaluation
Observations/Comments
Receptive Language
Expressive Language
Pragmatic/Social Language
Additional Observations
Summary and Recommendations