Speech Screen Form (Fluharty 2)

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