Fluency & Stuttering Assessment Tool
Welcome! Let's set this up.
Enter your practice info once and it will appear on the tool and all PDF downloads. You can always update it later.
Used on PDF footers only
The Speech Source
Fluency & Stuttering — Informal Assessment
The Speech Source
Fluency & Stuttering — Informal Assessment
thespeechsource.com
Fort Worth, TX  ·  Private Pay Clinic
Sample 1 Play Activity
Engage the child in a structured play activity (e.g., blocks, farm set, dollhouse). Tally each disfluency type and each fluent syllable as you listen.
Disfluency type Count Sound/syllable repetitions e.g. "b-b-ball"
0
Word repetitions e.g. "I-I want"
0
Sound prolongations e.g. "ssssun"
0
Blocks / hard stops airflow stops
0
Phrase repetitions e.g. "I want-I want"
0
Revisions / interjections e.g. "um", "uh"
0
Fluent syllables
Tap for each syllable spoken without disfluency
0

% Stuttered syllables
—
Sample 2 Conversation
Have a naturalistic conversation with the child (e.g., talk about a favorite show, pet, or recent event). Tally each disfluency type and each fluent syllable as you listen.
Disfluency type Count Sound/syllable repetitions
0
Word repetitions
0
Sound prolongations
0
Blocks / hard stops
0
Phrase repetitions
0
Revisions / interjections
0
Fluent syllables
Tap for each syllable spoken without disfluency
0

% Stuttered syllables
—
Sample 3 Reading / Retell
For readers: ask the child to read aloud a short passage. For pre-readers: use a wordless picture book and ask for a story retell. Tally each disfluency type and each fluent syllable as you listen.
Disfluency type Count Sound/syllable repetitions
0
Word repetitions
0
Sound prolongations
0
Blocks / hard stops
0
Phrase repetitions
0
Revisions / interjections
0
Fluent syllables
Tap for each syllable spoken without disfluency
0

% Stuttered syllables
—
Secondary Physical & Secondary Behaviors
Observe and check any secondary behaviors present during the assessment. These are physical movements or sounds that occur alongside stuttering and are important for severity determination.
Facial
Body / Extremities
Respiratory
Clinician notes on secondary behaviors
Total secondary behaviors observed
0
Summary & Severity
Total disfluencies
0
Total syllables
0
Overall % SS
—
0%5%10%15%20%+
Within normal
Mild
Moderate
Severe
Very severe
Severity classification: Within normal limits
Enter sample data above to generate a summary for families.
Clinical disclaimer: This is an informal clinical screening tool, not a standardized or norm-referenced assessment. It is intended for use by licensed speech-language pathologists as a supplement to — not a replacement for — a comprehensive fluency evaluation. Results must be interpreted in the context of a complete case history, clinical observation, and professional judgment. Severity ranges are adapted from the Stuttering Severity Instrument, 4th Edition (SSI-4) and ASHA fluency disorder guidelines.
The Speech Source
Kim Dillon, M.A., CCC-SLP  ·  Mary Brezik, M.S., CCC-SLP  ·  thespeechsource.com

Terms of Use

License: Purchase of this tool grants a single-user, non-exclusive, non-transferable license for use by the purchasing clinician in their own clinical practice. This tool may not be shared, resold, redistributed, sublicensed, or reproduced in any form — digital or print — without the express written permission of The Speech Source.

Permitted use: This tool may be used in direct clinical practice with clients, including sharing results summaries with families as part of a clinical session. It may not be incorporated into other products, courses, or training materials without a separate licensing agreement.

No clinical guarantee: The Speech Source makes no warranty, expressed or implied, regarding the diagnostic accuracy of this tool. It is designed to support — not replace — the professional judgment of a licensed SLP. The Speech Source assumes no liability for clinical decisions made on the basis of this tool.

Modifications: Purchasers may not alter, rebrand, or remove copyright notices from this file.

© The Speech Source  ·  Kim Dillon & Mary Brezik  ·  All rights reserved  ·  thespeechsource.com
0
Skip to Content
The Speech Source
Home
Services
Podcast
Shop
Camp
Blog
Contact Us
The Speech Source
Home
Services
Podcast
Shop
Camp
Blog
Contact Us
Home
Services
Podcast
Shop
Camp
Blog
Contact Us
Get In touch
Get In touch

© 2022 The Speech Source, LLC | Website by KambreeDesign