This form is used by speech therapists to track the progress of a patient’s speech over time. The form comes with a brief description at the top, but it should also have a title at the top that says “Data Collection Form.”
This data collection form is for you to use to keep track of the progress your child is making in speech therapy. Use this form to reflect on the progress your child has made, and take note of any concerns you have about your child’s progress.
This form is intended to collect information about a child’s speech and language development. It will be used to assess the child’s progress in treatment so that we can determine if changes need to be made or if treatment is working. The information collected on this form will not be shared with anyone other than the clinicians at the clinic.
The purpose of this form is to collect data on the effectiveness of a speech therapy program taught by [teacher name]. This information will be used to assess the student’s progress in the program and determine how much support they need.
A speech therapist needs a way to record and keep track of which words their patients are struggling with. The speech therapist could then use this data to create flashcards for the patient to practice on.
Please fill out as much information as you can in the table below, indicating how well you think the student is performing with each goal by checking the box that describes their performance best.
The first section is labeled “Patient,” and asks for the following information:
First Name, Last Name, Date of Birth, Age, Gender.
The second section is labeled “Therapist,” and asks for the following information:
First Name, Last Name, Date.
The third section is labeled “Parent/Guardian,” and asks for the following information:
First Name, Last Name, Phone Number.
The fourth section is labeled “Session,” and asks for the following information:
Start Time, End Time, Duration (should be calculated based on Start Time and End Time), Session Type (should be a dropdown with choices like “Initial Assessment,” “Follow-up Assessment,” etc.).
This form will be used to track the frequency and severity of your child’s speech articulation errors. It is important that this form is completed once per day, every day; doing so will ensure that we are able to track his/her progress over time with the greatest accuracy.