Menu

Home
SLT Delays & Disorders
Therapy Process & FAQ
Services
Self Assessment Tools
Team
Contact Us

Self-Assessment Tools

Social Skills
Self-Assessment

Articulation
Self-Assessment

Voice
Self-Assessment

Stuttering
Self-Assessment

Accent Modification
Self-Assessment

Social Skills
Self-Assessment

I feel unsure of what to say in social situations

Strongly Disagree Disagree Neutral Agree Strongly Agree

I am not sure how to behave in everyday social situations

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have stopped trying to initiate friendships because it is stressful

Strongly Disagree Disagree Neutral Agree Strongly Agree

I often make inappropriate comments or accidentally offend others

Strongly Disagree Disagree Neutral Agree Strongly Agree

I behave unnaturally in social situations

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have trouble making eye contact

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have trouble with my non-verbal communication

Strongly Disagree Disagree Neutral Agree Strongly Agree

I send the wrong impression of me to others

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have a diagnosis of, or suspect that I might have qualities of social communication disorder, ASD (autism-spectrum disorder), ADHD, anxiety or a concussion/brain injury

Strongly Disagree Disagree Neutral Agree Strongly Agree

If you answered agree or strongly agree to two or more of these questions, then you may benefit from help in this area. Feel free to submit your answers for review or to start a discussion about improving the above mentioned skills.

ALL INFORMATION SUBMITTED IS SECURE AND CONFIDENTIAL.

Name

Email

Articulation
Self-Assessment

You have structural/anatomical limitations that prevents you from saying sounds the right way or the way you used to say them before

Strongly Disagree Disagree Neutral Agree Strongly Agree

You have trouble saying certain sounds (e.g. the “s” sound)

Strongly Disagree Disagree Neutral Agree Strongly Agree

You say some sounds wrongly (e.g. “tat” for “cat”)

Strongly Disagree Disagree Neutral Agree Strongly Agree

You speak too quickly

Strongly Disagree Disagree Neutral Agree Strongly Agree

You are frequently asked to repeat yourself and people have trouble understanding you

Strongly Disagree Disagree Neutral Agree Strongly Agree

You wonder if your ideas would be received better if you were able to say them in a clearer way

Strongly Disagree Disagree Neutral Agree Strongly Agree

If you answered agree or strongly agree to two or more of these questions, then you may benefit from help in this area. Feel free to submit your answers for review or to start a discussion about improving the above mentioned skills.

ALL INFORMATION SUBMITTED IS SECURE AND CONFIDENTIAL.

Name

Email

Voice
Self-Assessment

I feel nervous when speaking to others because of my voice

Strongly Disagree Disagree Neutral Agree Strongly Agree

My voice makes it difficult for others to hear or understand me

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have a medical condition that has affected my voice

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have experienced a vocal fold/cord injury or related condition

Strongly Disagree Disagree Neutral Agree Strongly Agree

It is hard to get my words out. Sometimes I cough a lot while trying to speak.

Strongly Disagree Disagree Neutral Agree Strongly Agree

I avoid the telephone because of my voice

Strongly Disagree Disagree Neutral Agree Strongly Agree

I avoid speaking in groups because of my voice

Strongly Disagree Disagree Neutral Agree Strongly Agree

My voice is too soft for me and too soft for others to hear me properly

Strongly Disagree Disagree Neutral Agree Strongly Agree

My voice is too loud for me and other people keep saying I am shouting

Strongly Disagree Disagree Neutral Agree Strongly Agree

My voice is very rough or strained

Strongly Disagree Disagree Neutral Agree Strongly Agree

My voice is too soft

Strongly Disagree Disagree Neutral Agree Strongly Agree

My voice breaks and quivers when I speak, especially in longer sentences

Strongly Disagree Disagree Neutral Agree Strongly Agree

I have partially or entirely lost my voice recently

Strongly Disagree Disagree Neutral Agree Strongly Agree

I often experience tension in my neck or throat

Strongly Disagree Disagree Neutral Agree Strongly Agree

I experience pain or discomfort when speaking

Strongly Disagree Disagree Neutral Agree Strongly Agree

I feel like I am running out of air when speaking

Strongly Disagree Disagree Neutral Agree Strongly Agree

If you answered agree or strongly agree to two or more of these questions, then you may benefit from help in this area. Feel free to submit your answers for review or to start a discussion about improving the above mentioned skills.

ALL INFORMATION SUBMITTED IS SECURE AND CONFIDENTIAL.

Name

Email

Stuttering
Self-Assessment

You often repeat sounds multiple times within a word (e.g.” b, b, b blue”)

Strongly Disagree Disagree Neutral Agree Strongly Agree

You often repeat a word multiple times within a sentence (e.g. “red red red train”)

Strongly Disagree Disagree Neutral Agree Strongly Agree

You frequently have unintentional pauses or blocks between words in sentences

Strongly Disagree Disagree Neutral Agree Strongly Agree

You have difficulty “getting the word out” although you know which word you would like to say

Strongly Disagree Disagree Neutral Agree Strongly Agree

You often avoid certain words as you know you will stumble on them

Strongly Disagree Disagree Neutral Agree Strongly Agree

You avoid social situations where you are required to speak to avoid bringing attention to your speech/stutter

Strongly Disagree Disagree Neutral Agree Strongly Agree

You have been bullied or teased about your stuttering

Strongly Disagree Disagree Neutral Agree Strongly Agree

You worry that people will think you are less intelligent because of your stutter or stammer

Strongly Disagree Disagree Neutral Agree Strongly Agree

You have attended speech therapy, potentially as a child, for stuttering

Strongly Disagree Disagree Neutral Agree Strongly Agree

You are motivated to improve your fluency with the right clinician

Strongly Disagree Disagree Neutral Agree Strongly Agree

If you answered agree or strongly agree to two or more of these questions, then you may benefit from help in this area. Feel free to submit your answers for review or to start a discussion about improving the above mentioned skills.

ALL INFORMATION SUBMITTED IS SECURE AND CONFIDENTIAL.

Name

Email

Accent Modification
Self-Assessment

You prefer to moderate your accent instead of losing it completely

Strongly Disagree Disagree Neutral Agree Strongly Agree

You have difficulty pronouncing some sounds in the way they are pronounced where you live or work

Strongly Disagree Disagree Neutral Agree Strongly Agree

Your English proficiency level is high, except for pronunciation

Strongly Disagree Disagree Neutral Agree Strongly Agree

You see improving your pronunciation of English as an exercise in professional development or self-improvement

Strongly Disagree Disagree Neutral Agree Strongly Agree

Your accent is impacting you professionally, academically, or socially

Strongly Disagree Disagree Neutral Agree Strongly Agree

You want to sound as "local" as you feel

Strongly Disagree Disagree Neutral Agree Strongly Agree

People often ask you to repeat yourself when you are speaking

Strongly Disagree Disagree Neutral Agree Strongly Agree

You have difficulty with being understood on the telephone

Strongly Disagree Disagree Neutral Agree Strongly Agree

You feel more confident communicating in writing than in speaking

Strongly Disagree Disagree Neutral Agree Strongly Agree

You feel like people are “judging” or “stereotyping” you upon hearing you speak

Strongly Disagree Disagree Neutral Agree Strongly Agree

If you answered agree or strongly agree to two or more of these questions, then you may benefit from help in this area. Feel free to submit your answers for review or to start a discussion about improving the above mentioned skills.

ALL INFORMATION SUBMITTED IS SECURE AND CONFIDENTIAL.

Name

Email

Company

Home
SLT Delays & Disorders
Therapy Process & FAQ
Services
Self Assessment Tools
Team
Contact Us

Menu

Home
SLT Delays & Disorders
Therapy Process & FAQ
Services
Self Assessment Tools
Team
Contact Us

Social

Contact Us
M: +65 8208 0193
E: info@integralst.com

Copyright © 2020 Integralst. All rights reserved.

Web Design by light4flash.com