Speech Therapy Self Analysis Form

//Speech Therapy Self Analysis Form

Speech Therapy Self Analysis Form

We should always approach people with speaking difficulties with respect,

Teaching of Talking, is about using simple words to share your thoughts with others

Expressive Aphasia

courtesy and dignity.

Speech Model Self-Evaluation Form


Please circle how you would describe your speech in the questions below
using the following rating scale:

4: All of the time
3: Most of the time
2: Some of the time
1: Not very often

1. My speech is loud enough to be clearly understood?

1 2 3 4

2. The speed of my speech is slow enough for others to understand?

1 2 3 4

3. The sounds in my words are clearly heard by others.

1 2 3 4

4. My speech is intelligible or understandable to others.

1 2 3 4

5. My voice is clear and strong.

1 2 3 4

Please make comments below, regarding your speech,
relating to each question:


Speed of Speaking:

Sounds of Speech:

Understandability of my speech:

Voice Clarity:

Mark Ittleman has been taking care of my son, who had severe speech problems after a stroke. With Mark’s therapy he has made remarkable progress and has learned to communicate reasonably well. I am grateful for Mark’s accomplishments and his success with my son. I especially like and appreciate Mark’s humor and cheerfulness and rapport he established. E.L.

Mark provided excellent diagnosis and guidance as I worked through my swallowing issues. Mark is easy to talk to and is approachable and supportive. J.F.

Dearest “Mark,”

A token of our appreciation of everything you have done for our mother, Great #1 “Therapist! We are so blessed to have you! Today is “one” year from the time of our Mom’s heart attack and stroke! She has come a long way from no speaking to talking! You’re the best.

D,C, T and S xoxoxoxoxo

How To Help Someone Speak Better after Stroke

Dysarthria Speech Therapy Using Teaching Of Talking Reviewed

By | 2017-08-29T09:52:57+00:00 August 29th, 2017|Categories: Speech Therapy Program|Tags: |