Speech-Language Observation Form

Language or Speech Observation Form

Student: D.O.B. Date: School: Grade:

Description of activities observed within the learning environment:

Skills Observed Yes No Age appropriate articulation/phonological skills Follows directions appropriately Uses grammatically correct utterances Appropriate social interactions Fluent speech Appropriate voice quality

Is the student’s communication comparable to the other students? yes no

Related observational data from other sources and additional comments:

Summary Articulation, language, voice and/or fluency weaknesses lead to academic and social difficulties

Functional communications are within normal limits

______Speech-Language Pathologist Date

LSI Observ Frm 2009