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Referral For Multidisciplinary Team Evaluation - Language Impairment Classroom Teacher Report Page 2

Classroom Teacher’s Report – Language Impaired

Speaking

_____is understood by most people

_____answers simple “yes/no” questions

_____answers open-ended questions (e.g., “what did you have for lunch today?”)

_____retells a story or talks about an event

_____participates appropriately in conversations

_____answers more complex “yes/no” questions

_____tells and retells stories and events in a logical order

_____expresses ideas with a variety of complete sentences

_____uses most parts of speech correctly

_____asks and responds to “wh” questions

_____stays on topic and takes turns in conversation

_____gives directions

_____is easily understood – speaks clearly and with appropriate voice

_____uses and answers increasingly complex sentence structures

_____clarifies and explains words and ideas

_____gives directions with 3-4 steps

_____uses oral language to inform, persuade, and to entertain

_____stays on topic, takes turns, and uses appropriate eye contact during conversation

_____opens and closes conversation appropriately

_____uses subject-related vocabulary

_____summarizes a story accurately

_____explains what has been learned

_____uses words appropriately in conversation

_____uses language effectively for a variety of purposes

_____understands some figurative language (e.g., “the forest stretched across….”)

_____gives accurate directions to others

_____organizes information for clarity

_____uses subject area information and vocabulary for learning

_____makes effective oral presentations

_____maintains eye contact and uses gestures, facial expressions, and appropriate voice during group

presentations

_____participates in class discussions across subject areas

_____summarizes main points

_____reports about information gathered in group activities

Comments:__________________________________________________________________________________

___________________________________________________________________________________________

8/19/12

Referral For Multidisciplinary Team Evaluation - Language Impairment Classroom Teacher Report Page 2