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CCSS
Anchor Standard
Speaking & Listening
Language
Reading
Mainstream Questionnaire - Advocacy in Action
$ 1
This is a brief functional checklist for classroom teachers comprising o 6 questions that are rated never-sometimes-always. Questions relate to the student's positioning within the classroom, use of r
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epetition, alerting teacher to noise and need for speechreading, and use of FM/DM equipment, etc. Fillable.
Audiology Self-Advocacy Checklist - Middle School (ASAC-MS)
$ 0
Checklist identifying student skills and knowledge about hearing loss, audiogram, amplification, and successful communication in the classroom. For middle school age students
Ling Sound Data Collection Checklist
$ 2
fillable data sheet for student's responses to Ling 6 test.
The Secondary School Survey and Discussion
$ 295
This survey is appropriate for tweens and teens, especially those who are B to resist using hearing aids. It asks questions about how students feel about their hearing loss, hearing devices, and commu
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nication with hearing loss. Once the student completes the survey their responses can be compared with a large group of students with hearing loss. Provides discussion questions.
COMPASS - Test Recording Form (fillable)
$ 0
COMPASS Test of Auditory Discrimination by David Sindrey. Test Recording Form
Common Core Standards - Individual Record for K-2 Skills - fillable
$ 295
This document lists relevant common core state standards for children grades K-2 and provides a format for recording mastery dates in each area. Useful for planning and progress monitoring. Standards
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are selected for vulnerability to delays due to hearing loss. Mastery dates and student information is fillable.
Utley Test of Lipreading Ability
$ 0
The Utley is a simple test of speECH-reading ability. Provides mean results for children with hearing loss. NOTE: this test is from the 1950s when auditory access was minimal and early identification
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of hearing loss was nonexistent.
Children's Peer Relationship Scale - fillable
$ 2
Children's Peer Relationship Scale: Student Checklist - 8 multiple choice questions for students complete or teacher interview with student. Questions about feelings, friends, teasing. Good to precede
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self-advocacy training. Fillable version.
CHILD checklist for students to complete - Children's Home Inventory of Listening Difficulties - fillable
$ 250
Student Checklist - 15 questions about listening in home and community situations. 8-point rating scale (Understand-O-Meter). Listening Situation Breakdown resulting in scores for Quiet, Noise, Distan
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ce, Social and Media. Students age 8+ complete. Appropriate for use through elementary school.
Pre-Assessment for Expanded Skills DHH – Puzzle Pieces
$ 0
The source of the goals on this puzzle is Expanded Skills from RMTCDHH.org that were then inserted into an interesting puzzle piece format. You can use it as a pre-assessment at the beginning of the s
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the school year to document what students know about their hearing loss and other necessary skills or use it as an ongoing data collection tool. Color in or click the button on the puzzle piece goal items students already know. Strike through or label those that do not apply as NA. Older students can review with teacher assistance and then color in the puzzle pieces. This pre-assessment provides a good visual for the breadth of learning accomplished and the goals that still need to be learned. In this way this functional pre-assessment can help decide what IEP goals and objectives to focus on and teach.
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