Functional Communication Assessment
1
Never
2
Rarely
3
Sometimes
4
Almost Always
5
Always
Child attempt to say words.
Child understands what is said to
him/her.
Child successfully communicates
wants and needs to others by
speaking.
Child successfully communicates
wants and needs to others without
speaking (e.g., using gestures,
signs, facial expressions, picture
symbols, communication devices).
Child communicates successfully
with peers.
Childs speech can be understood
by unfamiliar listeners.
Adapted from Campbell, 1998, in Paul, 2001.
Child ______________________________________ Date of Birth __________________________________
Evaluator ___________________________________ Date of Eval __________________________________