SPEECH-LANGUAGE EVALUATION REPORT
Student:
Grade:
Date of Birth:
Evaluation Date:
BACKGROUND INFORMATION:
NAME is a {AGE} year-old {grade} student who was referred for a speech-language evaluation by {referral
source} due to concerns in the area(s) of {needs}.
Birth & Medical History
Teacher Observations
Parent Observations
BEHAVIORAL OBSERVATIONS:
DIAGNOSTIC INFORMATION:
The WORD Test-3 (TWT-3)
This test is designed to assess specific information about a student’s vocabulary and semantic skills. The
tasks on this test represent those language skills students must possess to perform well in the classroom.
There 6 vocabulary tasks on this test.
Test Scores
Associations
Synonyms
Semantic Absurdities
Antonyms
Definitions
Raw
Score
Percentile Standard
Rank
Score
Flexible Word Use
Average standard scores range from 85—115 with a mean of 100.
Explanation of Testing Tasks:
Associations
For this task, the student must identify the semantically unrelated word from a set of four words presented
orally. The student must then explain his choice by telling how the other 3 items go together.
e.g. Tell me which word doesn’t belong: apple, orange, window, banana.
{after response is given} How are the others alike?
Synonyms
This task requires the student to express a synonym for the word that is presented. The word must match
in meaning and part of speech.
e.g. Tell me another word for angry
Semantic Absurdities
For this task, the student is asked to fix sentences by changing the last word in the sentence to make it
semantically correct.
e.g. “The plumber fixed the lights”
Antonyms
On this task, the student must express an opposite for the word presented that matches in part of speech.
e.g. What is the opposite of hot?
Definitions
On this task, the student is required to tell the meaning of each test item presented verbally.
e.g. What is an island?
Flexible Word Use
For this task, the student is required to provide 2 different meanings for the same word.
e.g. Tell me what watch means. {after response} Good. Now tell me another meaning for the word
watch.
CLINICAL IMPRESSIONS:
Results from this evaluation indicated the following:
RECOMMENDATIONS:
It is recommended that the IEP team review this information in conjunction with the psycho-educational
evaluation and/or other critical assessments, observations and progress data to determine the best action
plan to meet this student’s needs.
Student meets criteria for continued speech/language therapy.
Therapy is recommended.
Periodic re-check.
Dismissal from speech-language therapy.
No speech-language therapy is recommended at this time.
If you have any questions or concerns regarding this evaluation, please feel free to contact me.
[SLP NAME]
Speech-Language Pathologist
[Phone]