[Self-Test] Auditory Processing Disorder in Children – Dr John Flett

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Self-assessment apd

(auditory processing disorder)

Please ensure all relevant documentation and reports are present before completing the form.
If you have difficulty attaching and uploading reports please email these documents.

Please ensure all relevant documentation and reports are present before completing the form. If you have difficulty attaching and uploading reports please email these documents.

Step 1 of 4

25%

Self-Assessment APD Dr. John Flett. Hillcrest Private Hospital. www. schoolingassessment.com, 031-1000 474 email: assessment@courses.drflett.com
APD
Adapted from the symptoms of APD as described by the American Speech-Language-Hearing Association. This is not a diagnostic tool. If you have concerns about possible APD see a health professional. An accurate diagnosis can only be made through clinical evaluation. This screener is for personal use only.
Completion Date
DD slash MM slash YYYY
Child's Name*
First Last
Date of Birth of Child*
DD slash MM slash YYYY
Email Parent*
Enter Email Confirm Email

1 My child mishears me when I’m speaking; he thinks I said “bread” instead of “red,” for example.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
2 My child often says sounds in the wrong order, long after his peers have stopped doing this.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
3 My child seems disinterested in music.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
4 My child can’t focus on writing and listening at the same time, and has difficulty taking notes.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
5 My child gets stressed out when talking on the telephone — or even thinking about it.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
6 If I tell my child, “Go to your room and get your coat,” she’ll go to her room and come back without her coat.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often

7 My child can’t focus on his homework if he can hear someone talking or playing in another room.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
8 My child often says, “What?” even if no one is talking.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
9 My child does poorly on oral tests but not written ones. My child has difficulty listening to auditory information (teacher teaching) when no visual information is available.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
10 My child has been tested for hearing problems, and everything came out fine.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
11 My child seems distracted or has trouble focusing during class.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
12 My child gets upset if anyone talks while we’re watching TV, even at a very low volume or during a commercial.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often
13 My child cries, covers her ears, or runs away when I turn on the vacuum cleaner.*
- Never
- Occasionally
- Sometimes
- Often
- Very Often

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