Fluharty II Articulation Screening Record Form Child’s Name ______________________ Birth Date ___________ Age _________ Site___________________ Screener___________________ Screen Date________ This screen consists of 15 words for the child to pronounce. Each word has two sounds underlined, a beginning sound and an ending or middle sound, each counting as one point. For instance, if the word is “spoon” and the child says “poon”, the child scores 1 point (one point for the “n” sound, no points for the “sp” sound). The screen starts with two sample words (with corresponding picture), “cake” and “dog,” which are not included in the scoring. These words are only to help familiarize the child with the process. The child does not lose points for not being able to name the picture. Procedure: Say to the child,” I am going to show you some pictures and I want you to tell me what they are called. Are you ready?” Sample A: Show the child Sample A (cake), and say, “What is this?” If the child answers “cake”, say, “Yes, that’s a picture of a cake”, and proceed to sample B. If the child uses another word to name the picture, say “What else could you call this?” If the child does not come up with “cake,” say “That’s a picture of a cake; please say cake”, then proceed to sample B. Follow the same procedure as sample A, then proceed to Item 1. Use the same procedure as for the sample words and write the score for each word on the score sheet according to the sounds the child produces. Total the columns, then add the two totals together to get the “Total Raw Score.” Cut-off scores are included at the bottom of this page. Check “Pass,” “Rescreen” (see referral procedures), or “Refer.” ITEM 1st SOUND SCORE 2nd SOUND SCORE NOTES 1. can ________________ ___________________ __________________________________________________ 2. sock ________________ ___________________ __________________________________________________ 3. match ________________ ___________________ __________________________________________________ 4. pillow ________________ ___________________ __________________________________________________ 5. fork ________________ ___________________ __________________________________________________ 6. chain ________________ ___________________ __________________________________________________ 7. shoes ________________ ___________________ __________________________________________________ 8. school ________________ ___________________ __________________________________________________ 9. spoon ________________ ___________________ __________________________________________________ 10. blocks ________________ ___________________ __________________________________________________ 11. flag ________________ ___________________ __________________________________________________ 12. truck ________________ ___________________ __________________________________________________ 13. rings ________________ ___________________ __________________________________________________ 14. glove ________________ ___________________ __________________________________________________ 15. zebra ________________ ___________________ __________________________________________________ Total (1)______ + Total (2)________ = Total Raw Score PASS______ RESCREEN_____ REFER_______ Refer if the total raw score is : For: 3 year olds (3-0 to 3-11) 20 or below 4 year olds (4-0 to 4-11) 23 or below 5 year olds (5-0 to 5-11) 24 or below
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