Auditory Problems Checklist

             I.E.L.P. AUDITORY PROBLEMS CHECKLIST
Scoring key:   
0              =              NONE                   1             =              VERY MILDLY
2              =              PROBLEMATIC        3             =              SEVERELY DISRUPTING

                                                                                                                               
0
1
2
3
1. History of middle-ear infections before three years age
 
 
 
 
2. History of middle-ear infections
 
 
 
 
3. History of grommet operations
 
 
 
 
4. Does not pay attention to instruction (teaching) 50% or more of the time
 
 
 
 
5. Has difficulty following spoken directions
 
 
 
 
6. Often necessary to repeat instructions.
 
 
 
 
7. Does not learn well through auditory channel
 
 
 
 
8. Slow processing of auditory input
 
 
 
 
9. Cannot always relate what is heard to what is seen
 
 
 
 
10 Cannot attend to purely auditory input for more than a few seconds
 
 
 
 
11. Frequently misunderstands what is said
 
 
 
 
12. Often asks for repetition of what was said /says “huh?” & “what?”
 
 
 
 
13. Forgets what was said in a few minutes
 
 
 
 
14. Has a short attention span
 
 
 
 
15. Daydreams, attention drifts
 
 
 
 
16. Easily distracted by sounds
 
 
 
 
17. Ability to work deteriorates in groups or crowds
 
 
 
 
18. Experiences problems with sound discrimination
 
 
 
 
19. Has difficulty with phonics
 
 
 
 
20. Has problem repeating or remembering sequences
 
 
 
 
21. Is bothered by sounds/ covers his ears/painful discomfort reaction.
 
 
 
 
22. Notices sounds before others do.
 
 
 
 
23. Has “startle” reaction to sounds that don’t bother anyone else.
 
 
 
 
24. Needs loud music to be able to concentrate on homework
 
 
 
 
25. Seeks “quiet time”.
 
 
 
 
26. Does not comprehend many words/ concepts for his age
 
 
 
 
27. Has a language problem (grammar, vocabulary, etc)        
28. Has/ had an articulation problem (speech).