Communication Assessment
A. Receptive Language
1. Does the child follow oral directions?
Yes
No
2. In which settings does the child follow oral directions?
Whole group
Small group
One-on-one
Varies
3. What type of directions does the child follow?
One step
Two-step related
Two-step unrelated
Multi-step related
Multi-step unrelated
4. Does the child understand "Yes/No" questions?
Yes
No
5. Does the child understand "Wh" questions?
Yes
No
6. What type of "Wh" questions does the child understand?
Simple
Requiring critical thinking skills
7. Does the child provide objects referenced by function?
Yes
No
8. Does the child provide objects when requested by name?
Yes
No
9. Does the child indicate spatial concepts either by pointing to, or placing an object on?
Top
Bottom
Up
Down
By
Beside
Behind
In front of
In back of
Around
Before
After
Above
Below
B. Expressive Language
10. How does the child typically communicate?
Using single words
Uses 2-3 word phrases
Uses complete sentences
11. How is the child's articulation?
Speech is intelligible to others
Speech is difficult for others to understand
12. Repertoire of Vocabulary
Mature
Immature
13. Does the child use negatives in sentences?
Yes
No
14. How does the child react when not understood?
Repeats what was said
Uses gestures
Walks away
Exhibits frustration
Demonstrates inappropriate behavior(s)
Shuts down
Other:
15. Does the child state their name?
Yes
No
16. Does the child state their age?
Yes
No
17. Does the child state their gender?
Yes
No
18. Does the child verbally express their needs and wants?
Yes
No
Other:
19. Does the child join conversations?
Yes
No
Other:
20. Does the child initiate conversations?
Yes
No
21. Does the child use greetings ("hello" and "bye") at appropriate times?
Yes
No
22. Does the child use "Thank you" and "Please" appropriately?
Yes
No
Other:
23. Does the child respond to "yes/no" questions?
Yes
No
24. Does the child respond to "Wh" questions?
Yes
No
25. What type of "Wh" questions does the child respond to?
Simple questions
Questions requiring critical thinking skills
Following a read-aloud:
26. Does the child respond to reading-related questions?
Yes
No
27. Does the child recall details?
Yes
No
28. Does the child retell the story?
Yes
No
29. Does the child identify the main idea?
Yes
No
30. Does the child make predictions?
Yes
No
31. Does the child sequence and describe pictured action cards?
Yes
No
32. Is the child receiving speech therapy services?
Yes
No
33. If yes, have you conferred with the provider regarding the child's progress?
Yes
No
C. Student Strengths, Preferences, and Interests
34. What are the child's communication strengths?
35. What types of activities does the child prefer?
36. What subjects is the child interested in?
D. Communication Development Needs and Parent Concerns
33. What communication challenges does the child continue to experience?
37. Have parents expressed concerns about their child's communication development?
Yes
No
38. If yes, what concerns have the parents shared?
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