KYRENE SCHOOL DISTRICT
CHECKLIST FOR LANGUAGE SAMPLE ANALYSIS

Student_____________________________Date__________School_______________________________

Use this checklist to identify primary areas of weakness from language sample analyses. Analyses should be based on approximately 50 complete and intelligible utterances. Note whether a conversational sample, an extended discourse sample, both was obtained. With the exception of Utterance Formulation (Mazing) characteristics, areas of weakness are indicated when 10% or more of the utterances contain problem characteristics from the middle column. Results from this checklist will be used when determining eligibility for speech/language services. More detailed analyses of problem areas may be required for formulating relevant goals/objectives on students' IEP.

 

Conversation

If observed in more than 5 of 50 utterances

Comments/Observations

Communication Effectiveness

Extended Discourse

If observed in more than 5 of 50 utterances

Comments/Observations

________________________________

___Listener's comprehension breaks down.

________________________________

________________________________

___Speaking rate is not comfortable/too fast.

________________________________

________________________________

___Speaking rate is not comfortable/too slow.

________________________________

________________________________

___Intelligibility breaks down due to rate.

________________________________

________________________________

___Loudness is a problem.

________________________________

If observed in more than 10 of 50 utterances

Comments/Observations

Utterance Formulation (Mazing)

Observed in more than 15 of 50 utterances

Comments/Observations

________________________________

___Filled pauses are present (um, er, uh).

________________________________

________________________________

___Silent pauses ›2 seconds are present.

________________________________

________________________________

___Repetitions are present:

________________________________

________________________________

___part word ___word ___phrase

________________________________

________________________________

___Revisions are present:

________________________________

________________________________

___word ___phrase

________________________________

________________________________

___False starts are present: ‹3 words.

________________________________

________________________________

___Utterances are abandoned: ›4 words.

________________________________

________________________________

___Word finding problems/

circumlocution present.

________________________________

 

________________________________

 

___Mazes are mostly in utterance-initial position.

________________________________

________________________________

___Mazes are noted throughout utterances.

________________________________

________________________________

___Mazes are usually long:

________________________________

________________________________

________________________________

___›3-4 units ___›5-6 units or more

________________________________

Conversation

If observed in more than 5 of 50 utterances

Comments/Observations

Problem Behaviors

 

 

FORM

Extended Discourse

If observed in more than 5 of 50 utterances

Comments/Observations

________________________________

___MLU is well below expectation for age.

________________________________

________________________________

___Tense errors are present.

________________________________

________________________________

___Pronoun case errors are present (him/he).

________________________________

________________________________

___Noun phrase errors are present.

________________________________

________________________________

___Verb phrase errors are present.

________________________________

________________________________

___There are fewer than 5 complex sentences.

________________________________

________________________________

 

___Errors noted in complex sentence formation.

________________________________
 

CONTENT

  

________________________________

___Inappropriate word choice is observed.

________________________________

________________________________

___There is nonspecific word choice (here, stuff).

________________________________

________________________________

___There Is limited use of categorical vocabulary.

________________________________

________________________________

___Reference to people/things is ambiguous.

________________________________

________________________________

___Events are not sequenced.

________________________________

________________________________

___Story elements are missing/

inappropriate (setting, resolution).

________________________________

 
 

USE

  

________________________________

___Student is hesitant to talk.

________________________________

________________________________

___Student does not initiate conversation.

________________________________

________________________________

___Student does not maintain conversation.

________________________________

________________________________

___Student relies on minimal responses (uhhuh).

________________________________

________________________________

___Student responses are noncontingent.

________________________________

________________________________

___Student initiates irrelevant/tangential conversation.

________________________________

________________________________

___Student interrupts conversation.

________________________________

________________________________

___Student does not repair communication breakdowns.

________________________________

________________________________

___Student provides insufficient background for new topics.

________________________________

 

Comments/Observations

 

Other

 

Comments/Observations

________________________________

___Cultural influences

________________________________

________________________________

___Bilingual/LEP considerations

________________________________

________________________________

___Medical/sensory considerations

________________________________

________________________________

___Error sounds noted (see articulation rubric)

________________________________

________________________________

___Voice concerns (see voice rubric)

________________________________

________________________________

___Stuttering concerns (see fluency rubric)

________________________________

 

 

CKLANG2