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Substitutes one sound for another
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Omits, distorts, or adds one or more sounds
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Is unintelligible or difficult to understand
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Sounds distracting or unclear to the listener
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Must be asked to repeat what they have said often
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Has reduced vocabulary (Uses improper words and their meanings)
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Uses inappropriate grammatical patterns
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Demonstrates difficulty comprehending spoken language
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Has difficulty expressing ideas
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Has difficulty in following directions
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Vocal quality lacks appropriate inflections, tone or volume
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Inability to follow social speaking rules (including maintaining eye contact, staying on topic, taking turns while speaking and being a good listener)
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Demonstrates difficulty in understanding abstract language (including idioms, jokes, sarcasm and subtle nuances)
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Has difficulty accessing the core curriculum at school secondary to poor comprehension of subject matter (including vocabulary and major concepts)
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Manifests difficulty in getting thoughts and ideas down on paper in written form
