Classroom Language Checklist printable pdf download

Classroom Language Checklist

Student’s Name_________________

Teacher ________________________

Date__________________________

Grade _________________________

Check statements that apply:

___ consistently requests that information be repeated

___ has difficulty paying attention without needing pictures of visual cues

___ short auditory attention span

___ poor short term and long term memory

___ has behavior problems

___ cannot attend to auditory stimuli for more than a few seconds

___ daydreams; attention drifts; gives the impression of not listening

___ has trouble following oral directions correctly

___ does not remember things heard in the order they are presented

___ has difficulty listening to stories and retelling them accurately

___ has trouble answering questions in class

___ has difficulty following the sequence of topics in a class discussion

___ does not recall details in stories read aloud or in class discussions

___ forgets what is heard after a few minutes

___ often misunderstands what is said

___ has difficulty recognizing everyday sounds and their sources

___ does not discriminate similar sounding words

___ has problems discriminating different speech sounds

___ cannot identify words that rhyme

___ has difficulty creating words that rhyme with other words

___ has difficulty with sound-symbol associations (matching letters with corresponding sounds)

___ has trouble screening out background noise

___ has difficulty formulating sentences

___ has trouble using correct word order in sentences

___ uses poor grammar in conversation

___ rarely starts a conversation with others

___ has difficulty maintaining a topic of conversation

___ takes a long time to explain things

___ has difficulty defining or describing words or common objects

Comments:__________________________________________________________________________

___________________________________________________________________________________

Classroom Language Checklist