This google form collects input from teacher(s) on the student's language and communication problems to help determine impact on educational performance. Skill areas of questions include: Listening, Auditory Processing, Memory, Receptive/Expressive Language, Vocabulary/Semantics, Pragmatics, Metalinguistcs/Phonemic Awareness. Teacher checks off "Yes, No, or Sometimes" for each question. There is a question at the end for additional comments for the teacher to write in.