Speech & Language Pre-Referral Checklist — School-Age

Has difficulty following directions

Has trouble answering simple questions (what, who, where)

Has difficulty learning new vocabulary

Understanding stories or explanations

Has trouble expressing needs or ideas

Difficulty in using age-appropriate grammar

Difficulty with developing literacy skills as expected

Speech difficult for unfamiliar listeners

My child is above 5 years of age, and makes errors for K, G, L, S, Z, SH, CH, J, R sounds

Child shows frustration when speaking

Has difficulty interacting or playing with peers

Difficulty with initiating communication

Difficulty to take conversational turns

Understanding social cues

Repeats or stretches the sounds or words while speaking

Presents with speech blocks or tension while speaking

Concerns with the voice quality