F OCUS ON I NDIVIDUAL L EARNING


Auditory Integration Training

A Checklist for Parents

This checklist is designed to help parents or teachers access whether a child might be having problems with his or her auditory system (hearing, auditory processing or auditory integration). An Adult's Checklist is also available.

Check off any item that describes the child's behavior or history. If you check seven or more items, read about Auditory Integration Therapy and consider scheduling an auditory assessment for the child.

The child
     Has a history of hearing loss
     Has a history of ear infection(s)
     Does not pay attention (listen) to instruction 50% or more of the time
     Has difficulty following verbal directions, often necessary to repeat instructions
     Does not learn well through use of the auditory channel
     Cannot always relate what is heard to what is seen
     Cannot attend to auditory stimuli for more than a few seconds
     Frequently misunderstands what is said
     Says "Huh?" and "What?" at least five or more times per day
     Forgets what is said in a few minutes
     Has a short attention span
     Daydreams, attention drifts, not with it at times
     Easily distracted by background noise
     Experiences problems with sound discrimination
     Has "startle" response to sudden sound or movement
     Notices sounds before others do
     Gives unusual descriptions of sounds, auditory stimulation or sensation
     Constant humming or audible self-talk
     Needs frequent "quiet time" to regain mental energy and composure
     Does not comprehend many words, not grasping verbal concepts appropriate for age/grade level
     Has a language problem (morphology, syntax, vocabulary, phonology)
     Has an articulation (phonology) problem
     Demonstrates below average performance in one or more academic area(s)
     Is considered to have autism, dyslexia, pervasive developmental disorder, Central Auditory Processing Disorder, Asberger's Syndrome or attention deficit hyperactivity disorder (ADHD)

If you have scored 7 or more 'yes' answers please contact June at Focus On Individual Learning, Singapore to discuss the results

In this case please print the questionaire and send it to June with your contact details

Please print this form and either send it to:
Focus On Individual Learning
408a River Valley Road
Singapore 248306

Or, if you wish to submit via email, enter your Name and Email address below and click the submit button.

  Name [Required]:
EMail [Required]:

Please indicate your interest below.
  I would like to make an appointment for an Initial Consultation to discuss auditory processing for my child
Child's Name:
School:
Home Tel(s):
Mobile(s):
Details of concerns:

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Email June for Information
Fax: +(65)67383240

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