Speech Intake Explorer Worksheet
Speech & Language Explorer
Intake & Interest Inventory • Part 1: Language & Voice
Expressive & Receptive
Client Name:
Date / Grade:
Clinician / SLP:
1
The "Wh-" Question Snapshot
Answer each prompt using complete, descriptive sentences.
WHO is someone you love spending time with?
Include who they are and one thing you do together.
WHERE is your favorite place to relax or explore?
Describe what it looks, feels, or sounds like.
WHAT is a topic, game, or hobby you love?
Name your favorite topic and your favorite fact about it.
WHY does that hobby make you feel proud or happy?
Use connecting words like "because" or "so that".
2
Descriptive Trait Web
Pick 3 powerful adjectives that describe you & explain why.
Adjective #1
Evidence / Example:
Adjective #2
Evidence / Example:
Adjective #3
Evidence / Example:
3
Sentence Expansion Studio
Expand each kernel into a complex, detailed thought.
Prompt A: "If I had the superpower to communicate with any animal or machine, I would choose..."
Prompt B: "When someone teaches me something brand new, the easiest way for me to understand is when they..."
Speech & Language Therapy Intake Series Target: Wh- Answering • Descriptive Vocabulary • Complex Utterances Page 1 of 3
Social Connections & Pragmatics
Intake & Interest Inventory • Part 2: Interaction & Boundaries
Social Pragmatics
Explore conversation styles, active listening, turn-taking habits, and personal boundary comfort.
1
Topic Maintenance & Conversational Rally
Pick a topic: Favorite Movies/Shows OR Dream Vacation. Practice a 2-turn exchange with your partner/clinician!
My Turn (Topic Starter / Comment):
Share your thought + ask a follow-up question.
Partner's Turn (Active Listening Note):
Write one detail you heard your partner share.
2
My Communication Style & Boundary Preferences
Conversation Setting: I communicate most comfortably when...
1-on-1 Small group (2-3) Whole class
Topic Redirection: When it is time to wrap up or switch topics, I prefer...
Direct reminder Visual cue/gesture Natural pause
Personal Space Bubble: When talking to peers, my comfort distance is...
Arm's length Close proximity Extra space
3
Social Scenario Navigator
How would you handle these peer situations?
Scenario A: Clarification
If a peer says something you didn't understand or misheard, what words can you use to ask for clarification?
Scenario B: Joining In
If two classmates are talking about a game you love, how can you politely join the conversation without interrupting?
Speech & Language Therapy Intake Series Target: Turn-Taking • Conversational Repair • Boundary Awareness Page 2 of 3
Sound Studio & Speech Fluency
Intake & Interest Inventory • Part 3: Articulation & Pacing
Speech & Fluency
Discover target sound patterns, practice smooth speech pacing, and capture baseline speech performance.
1
Target Sound Scavenger Hunt
Target Sound(s):
Find 3 words connected to your personal interests that contain your target sound. Say each word clearly in a complete sentence!
Initial (Beginning) Word 1
Sentence using Word 1:
Medial (Middle) Word 2
Sentence using Word 2:
Final (Ending) Word 3
Sentence using Word 3:
2
Smooth Speech & Pacing Toolbox
Pacing & Pauses Take intentional breaths at commas & periods
Easy Onset Start vowels gently with gentle airflow
Light Contact Touch lips/tongue softly without tension
Continuous Phonation Keep voicing smooth across phrase boundaries
My Rate of Speech Reflection: When speaking in exciting situations, my rate usually feels...
Too Fast (Speed Racer) Just Right (Steady Pacer) A Bit Hesitant (Slow & Careful)
3
Oral Story Sample & SLP Observation Log
Story Prompt (Read Aloud or Retell):
"My ideal weekend starts with sunny weather and good music. I would spend the morning outdoors, try delicious new food for lunch, and finish a fun creative project before dinner."
Client's 2-Sentence Personal Retell / Add-On:
SLP Screening Notes
Intelligibility: Good / Mild / Mod
Speech Rate: Fast / WNL / Slow
Fluency Disfluencies: <3% / 3-7% / >7%
Target Sounds:
Notes:
Speech & Language Therapy Intake Series Target: Target Sounds • Speech Rate/Fluency • Baseline Observation Page 3 of 3
