WEST ATHENS ELEMENTARY SCHOOL Speech and Language
Prevention and Screening Request
Date Of Birth
How long has student been exposed to English?
How long has student been at current ELD Level?
Has student met ELD goals?
Speech is difficult to understand by peers
Does not pronounce age-appropriate sounds correctly
Does not speak clarly in conversation but accurate in single words
Has difficulty getting words or sentences started or completed
Stumbles on words, repeats or prolongs words or sounds
Understands what is said or read, but has difficulty explaining ideas in comparison to classroom peers
Typically responds with single words rather than sentences
Has difficulty relating a story in sequence
Has difficulty communicating basic wants and needs
Has difficulty expressing thoughts and ideas about what s/he has learned
Frequently gives inappropriate responses in class discussions or when answering questions
Has difficulty interacting with peers
Has difficulty understanding and following spoken directions
Voice is at an inappropriate pitch for the student's age (too high or too low)
Voice is excessively loud or soft
Voice is breathy or nasal
Voice is chronically hoarse or raspy
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