Fisher's Auditory Problems Checklist
Child's Name:
School:
Date:
Grade:
Observer:
Position:
Please place a check mark before each item that is considered to be a concern by the observer.
1. History of hearing loss.
2. History of ear infection(s).
3. Does not pay attention to instructions 50 percent or more of the time.
4. Does not listen carefully to directions; often necessary to repeat.
5. Says “Huh?” or “What” at least five or more times a day.
6. Child cannot attend to auditory stimuli for more than a few seconds.
7. Short attention span (if marked, check most appropriate time frame:
1-2 minutes
2-5 minutes
5-15 minutes
15-30 minutes
8. Daydreams; attention drifts; not “with it” at times.
9. Easily distracted by background sound(s).
10. Difficulty with phonics.
11. Problems with sound discrimination.
12. Trouble recalling a sequence the child has heard.
13. Forgets what is said after a few minutes.
14. Does not remember simple, routine things from day to day.
15. Problems recalling what was heard last week, month, or year.
16. Difficulty following auditory directions.
17. Often misunderstands what is said.
18. Does not comprehend many verbal concepts for age or grade level.
19. Slow or delayed response to verbal stimuli.
20. Has a language problem: morphology, syntax, grammar, phonology.
21. Has an articulation (phonology) problem.
22. Child cannot always relate what is heard with what is seen.
23. Learns poorly through the auditory channel.
24. Lacks motivation to learn.
25. Performance is below average in one or more subject area(s).
To send this checklist to Patricia Chunn, and receive a professional opinion on your child's needs, press submit below.
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