This form should be completed by a speech-language pathologist using information gained from obtaining a conversational speaking sample.
Note: This product is part of my Cluttering Bundle!
It cannot be overemphasized that the sample must include conversational situations in which the child can speak freely and naturally, because cluttering may not present itself in structured speaking tasks such as standardized testing of articulation or language skills.
Audio or video recordings are very useful because they can be analyzed later. It’s suggested that you aim for at least a 5-minute conversation. Use the “notes” sections to write down examples of each symptom, the number of times a symptom occurs, or any other observations you have.
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About the Author:
Amanda Dugan, MS, CCC-SLP is an ASHA certified speech-language pathologist. She works full-time as a school SLP in North Carolina. Amanda has experience serving as Lead SLP and has spent more than 10 years molding young minds. She’s provided speech therapy to all ages of children, from toddlers to teens, and especially enjoys "tweens". Amanda is the creator of the blog Tween Speech Therapy. You can subscribe to her email newsletter by clicking here.