"Fluency Progress Monitoring Form"

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Fluency Progress Monitoring
Student: ______________________________
School:__________________________
( |= word
+= stuttered word )
Types of Dysfluencies:
Test Date: ___________
___broken words
Time Start:______ Time Stop:________Total Mins. =________
___blocks
___hesitations
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___part-word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___whole word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___interjections
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___prolonged sounds
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___dysrhythmic phonation
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___revisions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___ incomplete phrases
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
Physical Concomitants:
____ ____ ____ ____ ____
#of stuttered words _______ = ________ % dysfluent
200 words
Types of Dysfluencies:
Test Date:___________
___broken words
Time Start:______ Time Stop:________Total Mins. =________
___blocks
___hesitations
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___part-word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___whole word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___interjections
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___prolonged sounds
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___dysrhythmic phonation
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___revisions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___ incomplete phrases
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
Physical Concomitants:
____ ____ ____ ____ ____
#of stuttered words _______ = ________% dysfluent
200 words
Fluency Progress Monitoring
Student: ______________________________
School:__________________________
( |= word
+= stuttered word )
Types of Dysfluencies:
Test Date: ___________
___broken words
Time Start:______ Time Stop:________Total Mins. =________
___blocks
___hesitations
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___part-word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___whole word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___interjections
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___prolonged sounds
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___dysrhythmic phonation
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___revisions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___ incomplete phrases
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
Physical Concomitants:
____ ____ ____ ____ ____
#of stuttered words _______ = ________ % dysfluent
200 words
Types of Dysfluencies:
Test Date:___________
___broken words
Time Start:______ Time Stop:________Total Mins. =________
___blocks
___hesitations
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___part-word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___whole word repetitions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___interjections
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___prolonged sounds
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___dysrhythmic phonation
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___revisions
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
___ incomplete phrases
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
Physical Concomitants:
____ ____ ____ ____ ____
#of stuttered words _______ = ________% dysfluent
200 words