| LISTENING CHECKLIST | ||
| The ability to listen cannot be seen. The only way to gauge listening is indirectly -- through evaluation of related skills. This checklist offers a catalog of skills which can be related to auditory ability. There is no score and no "right" or "wrong" answers. Check as many boxes as you feel are appropriate. If you would like feedback for the Checklist, mail or fax to Rocky Mountain Learning Systems or take it to another professional. | ||
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MOTOR SKILLS
This is listening to
the body. These skills are related to the vestibular system of the
ear and affect balance, coordination, body image, and spatial orientation.
BEHAVIORAL AND SOCIAL ADJUSTMENT These behaviors and
attitudes may accompany an auditory problem. NAME:
ADDRESS:
EMAIL: |
LEVEL OF ENERGY
The ear acts as a dynamo,
providing us with electrical energy that stimulates the brain and nervous
system. This energy is necessary for our survival and for us to achieve
fulfilling lives. DEVELOPMENTAL HISTORY Listening difficulties
often develop early in life. Please note if any of the following apply.
ENVIRONMENTAL HISTORY __ Exposure to loud
sounds such as gunfire or loud concerts.
FOREIGN LANGUAGES List the languages (other than English) spoken in your home.
TELEPHONE #: DATE: |