<p> Language or Speech Observation Form</p><p>Student: D.O.B. Date: School: Grade: </p><p>Description of activities observed within the learning environment: </p><p>Skills Observed Yes No Age appropriate articulation/phonological skills Follows directions appropriately Uses grammatically correct utterances Appropriate social interactions Fluent speech Appropriate voice quality </p><p>Is the student’s communication comparable to the other students? yes no</p><p>Related observational data from other sources and additional comments: </p><p>Summary Articulation, language, voice and/or fluency weaknesses lead to academic and social difficulties</p><p>Functional communications are within normal limits</p><p>______Speech-Language Pathologist Date</p><p>LSI Observ Frm 2009</p>