This editable form helps parents and carers capture the words their child is currently saying — and how those words actually sound.
By noting both what your child attempts to say and how it comes out, you’ll give your speech therapist valuable insight into your child’s sound system, syllable patterns, and emerging speech skills.
This form is particularly helpful for:
✅ Preparing for a Childhood Apraxia of Speech (CAS) assessment
✅ Supporting early therapy planning when your child has limited output
✅ Tracking changes in syllable shapes, vowels, and consonants over time
It’s simple, clear, and can be filled out digitally or printed for home use.
📥 Download your free copy below and start building a snapshot of your child’s current communication profile.
This resource is designed for educational and clinical support purposes and does not replace formal assessment by a qualified speech pathologist.