Answer these questions about your communication concerns:

Are mispronunciations present?

Is speech understood by unfamiliar listeners? What % of the time?

Is a lisp present?

Does the speaker believe they have spoken correctly but others hear errors?

Are the errors occurring when attempting consonants or vowels?

Are parts of words missing? Syllables? Endings? others?

Are sounds slurred or distorted?

Is stuttering present?

Is it hard to find the right words?

Are spoken sentences incomplete? Are only nouns used to communicate?

Are gestures and pulling used instead of spoken language?

Is story-telling or talking about their day disorganized?

Does spoken expression seem significantly limited compared to peers?

Is it difficult to extract meaning from read text or spoken messages?

Has development of expression halted or regressed?

Is there a refusal to speak in certain situations or to particular person(s)?

Are interactions with peers awkward or inappropriate?

Is eye contact awkward or absent in communication?

Is the tone of speech robotic or awkward sounding?

Does the tone of speech seem unintentionally rude? Is the tone of speech robotic or awkward sounding?

Is it easier to disengage with others than to hunt for words that feel like they’re on the tip of the tongue?

Is a tongue thrust present? Is the tongue visible during swallow? Is there a loss of liquid or fluid while chewing or swallowing?

Is reading and comprehending different after a head injury or stroke?

Is there a history of family communication impairment?

Is there a history of ear infections?

Have adenoids or tonsils been removed?

Have recent hearing evaluations been within normal limits?