Whoops! Something went wrong.

Click here to refresh the page

Fluency Sample Recording Form

Grade Levels
Product Rating
File Type

PDF (Acrobat) Document File

Be sure that you have an application to open this file type before downloading and/or purchasing.

812 KB|6 pages
Product Description
Are you an SLP looking for a quick and easy-to-use form to record a speech fluency sample? This form should do the trick!

Simply print out this form and use a voice recorder to collect a speech sample from your client. As you are collecting your sample, there is a section for you to note any secondary behaviors or observations. After collecting your sample, you can then play it back and use this form to track the number and type of dsyfluencies you hear.

A fluent syllable is marked with a simple dot and dysfluent syllables can be marked as P=Prolongation, B=Block, I=Interjection, R=Revision, SR=Sound or Syllable Repetition, WR=Word Repetition, or PR=Phrase Repetition.

Then simply tally the number of dysfluent syllables and divide by the total syllables (200) to get your % dysfluency. This data can be used as an informal fluency assessment or in combination with the Stuttering Severity Instrument (SSI) or other formal fluency assessments.

A fluency fact sheet is also included and outlines the different types of dysfluencies, lists some secondary behaviors to look for, and outlines severity levels based on dysfluency index.
Are you looking for additional speech and language products? Below is a list of my related products:

The Back to School Bunch: Language Activities for Push-In Speech & Language

Wh-Question Visual Supports

Back to School SLP Organization Pack


I hope you enjoy my products!

Once downloaded, remember to provide feedback for my products to receive free TpT credits toward future purchases! Simply click on "My Purchases", then find the product name and click the flashing link under it that says "Provide Feedback." Once you complete your rating and comments section, hit "Submit". Your free TpT credits will then be automatically credited to your account!

I would love to have you follow my store for updates on future freebies, new products, and sales. To follow me, Click Here to View My Store!
Then find the star next to my logo that says "Follow Me" and click it. It’s that easy!

Total Pages
Answer Key
Teaching Duration
Report Copyright Infringement
  • Comments & Ratings
  • Product Q & A
Digital Download
Download Now

Speech Sanity




Digital Download
Download Now
Teachers Pay Teachers

Teachers Pay Teachers is an online marketplace where teachers buy and sell original educational materials.

Learn More

Keep in Touch!

Sign up