Auditory Problems Checklist
I.E.L.P. AUDITORY PROBLEMS CHECKLIST
Scoring key:
0 = NONE 1 = VERY MILDLY
2 = PROBLEMATIC 3 = SEVERELY DISRUPTING
|
|
0
|
1
|
2
|
3
|
|
1. History of middle-ear infections before three years age
|
|
|
|
|
|
2. History of middle-ear infections
|
|
|
|
|
|
3. History of grommet operations
|
|
|
|
|
|
4. Does not pay attention to instruction (teaching) 50% or more of the time
|
|
|
|
|
|
5. Has difficulty following spoken directions
|
|
|
|
|
|
6. Often necessary to repeat instructions.
|
|
|
|
|
|
7. Does not learn well through auditory channel
|
|
|
|
|
|
8. Slow processing of auditory input
|
|
|
|
|
|
9. Cannot always relate what is heard to what is seen
|
|
|
|
|
|
10 Cannot attend to purely auditory input for more than a few seconds
|
|
|
|
|
|
11. Frequently misunderstands what is said
|
|
|
|
|
|
12. Often asks for repetition of what was said /says “huh?” & “what?”
|
|
|
|
|
|
13. Forgets what was said in a few minutes
|
|
|
|
|
|
14. Has a short attention span
|
|
|
|
|
|
15. Daydreams, attention drifts
|
|
|
|
|
|
16. Easily distracted by sounds
|
|
|
|
|
|
17. Ability to work deteriorates in groups or crowds
|
|
|
|
|
|
18. Experiences problems with sound discrimination
|
|
|
|
|
|
19. Has difficulty with phonics
|
|
|
|
|
|
20. Has problem repeating or remembering sequences
|
|
|
|
|
|
21. Is bothered by sounds/ covers his ears/painful discomfort reaction.
|
|
|
|
|
|
22. Notices sounds before others do.
|
|
|
|
|
|
23. Has “startle” reaction to sounds that don’t bother anyone else.
|
|
|
|
|
|
24. Needs loud music to be able to concentrate on homework
|
|
|
|
|
|
25. Seeks “quiet time”.
|
|
|
|
|
|
26. Does not comprehend many words/ concepts for his age
|
|
|
|
|
| 27. Has a language problem (grammar, vocabulary, etc) | ||||
|
28. Has/ had an articulation problem (speech).
|
|
|
|
|
