Teen Screening Form | Wholistic Therapy

Has difficulty explaining thoughts clearly

Struggles to find the right words when speaking

Misunderstands directions or multi-step instructions

Has trouble organizing ideas when speaking or writing.

Avoids speaking in groups or class discussions.

Has difficulty starting or maintaining conversations.

Struggles with turn taking in conversations or games.

Misinterprets tone, sarcasm, or nonverbal cues.

Appears awkward or unsure in social situations.

Has difficulty adjusting communication for different settings (school vs friends vs adults.)

Avoids situations that require communication.

Appears anxious when asked to speak or participate.

Has difficulty asking for help or clarification.

Becomes frustrated when not understood.

Lacks confidence in social or communication situations.

Difficulty interpreting facial expressions or body language.

Difficulty understanding sarcasm, humor, or implied meaning.

Avoids situations that require communication

Appears anxious when asked to speak or participate.

Has difficulty asking for help or clarification

Becomes frustrated when not understood

Lacks confidence in social or communication situations

Difficulty planning or organizing spoken or written work

Trouble staying on topic

Difficulty following classroom discussions

Challenges managing communication during conflict.

Needs support applying communication skills to real-life situations

Communication challenges impact academic performance

Communication challenges affect friendships

Communication challenges affect confidence or emotional well-being.

Support is currently being received at school (Counseling, IEP, 504 etc...)

Speech is difficulty for others to understand

Certain sounds are produced incorrectly or inconsistently

Speech sounds immature for age

Speech clarity decreases when speaking quickly or excitedly

speech includes repetitions of sounds, syllables, or words

Speech includes prolongations or blocks

Speech fluency decreases when stressed, excited, or speaking in groups

avoids speaking situations due to fluency concerns

appears frustrated or anxious about speech fluency

voice sounds hoarse, strained, breathy, or nasal

voice quality changes throughout the day

voice becomes tired or uncomfortable with talking

speaks too loudly or too quietly for the situation

Adolescent Communication and Social Skills Screening Form