Chaplin Elementary School - Special Education & Support Services

Stacey Poole - Speech & Language Pathologist



Request for Observation
 
 Teacher's name:


 Student's name:


 Student's Date of Birth:


 Today's date:    


 A good time to observe a whole-group (oral) lesson is:


 Circle your area of concern:

     Articulation             Fluency            Voice

     Hearing

    Auditory Processing
    (difficulty listening/focusing in less than perfect listening situations)

     Language :         content (semantics/vocab)

                                form (grammar/syntax/morphology)

                                use (pragmatics - social language skills)
 

Briefly describe your conern(s) -- try to provide an example:  i.e. "During sharing time, Joey stammers a lot and seems to repeat small words (I, and) several times."