Free Speech Therapy Evaluation Template
Speech Therapy Evaluation
[YOUR COMPANY NAME]
Date: [Date]
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Name: |
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Age: |
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Gender: |
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Evaluation Period: |
Introduction: This form is designed to monitor the progress and results of speech therapy interventions over time.
Overview: The assessment focuses on tracking improvement, understanding the effectiveness of the interventions, and informing future therapy plans.
Evaluation Criteria:
1. Speech and Language Skills: This measures the individual's improvement in communication, vocabulary, and syntax understanding.
2. Fluency: This determines the continuous flow of speech, including pace, rhythm, and rate.
3. Voice and Resonance: This assesses the quality, pitch, volume, and resonance of the voice.
4. Oral and Speech Motor Skills: This evaluates the physical mechanisms involved in speech, including articulation, breath control, and muscle coordination.
5. Auditory Comprehension: This measures the individual's ability to understand spoken language.
6. Contextual Performance: This reviews the individual's ability to use speech and language effectively and appropriately in different contexts.
Evaluation Table:
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Criteria |
Rating (1-5) |
Comments |
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Speech and Language Skills |
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Fluency |
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Voice and Resonance |
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Oral and Speech Motor Skills |
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Auditory Comprehension |
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Contextual Performance |
Rating Scale:
1- Poor
2 - Below Average
3 - Average
4 - Above Average
5 - Excellent
Additional Comments and Notes:
If you have any comments about the evaluation, please feel free to leave them in the comments box. Your feedback is valuable to us.
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Notes |
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