Assessment Item ASHA NOMS Modified CEI/CETI Motor Speech Disorders Intake Form VHI for Speech/MSD PACE Scale Motor Speech Summary Form Freed Oral Motor Assessment Frenchay Assessment Rating Scale for Deviant Speech Dysarthria Impact Scale Communication Participation Item Bank RPRAP Assessments Source of information (who/what will you gather the information from) What part of the Assessment Process (History, Physical Exam, Motor Speech Exam) Information Outcomes (Body Function/Structure; Activity/participation; Environmental Factors; Personal Factors Speaker- person with dysarthria Motor speech exam All of the above Speaker with ALS Family/friend/caregiver Speaker Family/friend/caregiver Motor speech exam Motor speech exam Environmental factors Personal factors All of the above Speaker History All of the above SLP observing speaker Activity/participation Speaker Motor speech exam History Motor speech exam History Physical exam Speaker Physical exam Body function/structure Speaker Motor speech exam Body function/structure Speaker History Motor speech exam History Motor speech exam Activity/participation Personal factors Activity/participation Environmental factors Motor speech exam Body function/structures Speaker Speaker Speaker Activity/participation Body function/structure Body function/ structure