Speechology: 4-6 Months Developmental Online Screener

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Please fill out the screener with your child's corresponding age group. Once completed, a Speechology SLP will follow up with you regarding the results and whether a full evaluation is recommended.

You can always contact info@speechologyfl.com with any further questions.

Type your name if you consent to Speechology, LLC screening your child. *

Your Phone Number *

Your Child's Name and Date of Birth *

Type the name of your child's daycare if Speechology, LLC will be seeing your child at daycare. (Optional)

Your Child's Gender *

Female

Male

Prefer not to say

Does your child move their eyes in direction to sounds? *

Yes

Other:

Does your child respond to changes in your tone of voice? *

Yes

Other:

Does your child notice toys that make sound? *

Yes

Other:

Does your child make babbling sounds more speech-like with many different sounds (including p, b, and m) *

Yes

Other:

Is your child beginning to use intonation during vocalizations, chuckle and laugh, and vocalize excitement/displeasure? *

Yes

Other:

Does your child make gurgling sounds when left alone and when playing with adults? *

Yes

Other:

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