Speech Therapy Clinic Design Checklist
Assess and plan the essential features for an effective speech therapy clinic environment.
Clinic Name
*
Location/Address of Clinic
*
Contact Person Name
*
First Name
Last Name
Contact Email
*
example@example.com
Please rate the adequacy of the therapy room space.
*
1
2
3
4
5
Which of the following features are present in the therapy rooms?
*
Soundproofing
Natural Lighting
Adjustable Furniture
Child-friendly Decor
Observation Window
Other
Please indicate the availability of the following essential equipment.
*
Rows
Available
Not Available
Articulation Cards
1
2
Mirror
3
4
Recording Device
5
6
Toys/Games
7
8
Visual Aids
9
10
Seating for Parents
11
12
How accessible is the clinic for individuals with mobility needs?
*
Fully accessible (ramps, elevators, wide doors)
Partially accessible
Not accessible
Are there safety measures in place (e.g., fire exits, first aid kit, childproofing)?
*
Fire Exits Clearly Marked
First Aid Kit Available
Childproof Electrical Outlets
Emergency Contact List Posted
Other
Please rate the comfort of the waiting area.
*
1
2
3
4
5
Additional amenities available in the clinic:
Restroom
Drinking Water
Wi-Fi
Reading Materials
Play Area for Children
Other
Please provide any additional comments or suggestions regarding the clinic design.
Submit Checklist
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