Receptive Communication Assessment Form

Receptive Communication Assessment Form
Evaluate receptive communication skills with this concise assessment. Please answer each item based on observed performance.
Follows simple instructions

1
2
3
4
5
1 is Never, 5 is Always
Understands basic vocabulary

1
2
3
4
5
1 is Not at all, 5 is Fully
Responds appropriately to yes/no questions

1
2
3
4
5
1 is Never, 5 is Always
Understands multi-step directions

1
2
3
4
5
1 is Not at all, 5 is Fully
Comprehends stories or short passages

1
2
3
4
5
1 is Not at all, 5 is Fully
Identifies objects or pictures when named

1
2
3
4
5
1 is Never, 5 is Always
Select the level that best describes the individual's overall receptive communication abilities.
Rate attention to spoken language
Receptive Communication Skills Matrix
Rows Rarely Sometimes Often Consistently
Understands spatial concepts (in, on, under, etc.)
Follows group instructions
Recognizes own name
Additional comments or observations
Should be Empty:

Select theme:

Rows	Rarely	Sometimes	Often	Consistently
Understands spatial concepts (in, on, under, etc.)
Follows group instructions
Recognizes own name