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Speaking & Listening
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Advocacy in Action Curriculum Upper Elementary
$ 13
Complete curriculum guidance and scenarios for instruction in amplification (including hearing aids, cochlear implants, and FM systems), hearing loss basics including audiograms and ear anatomy, liste
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ning environments, and social awareness situations.
Formula for Success Contract - Early Intervention (fillable)
$ 0
This purpose of this form is to emphasize the critical importance of family involvement and follow through with effective strategies when communicating with young children who are deaf or hard of hear
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ing. Applicable across all communication options. Fillable.
Access to Instruction Checklist
$ 250
The Access to Instruction Checklist asks teachers to compare the student with hearing loss compared to class peers in the areas of instructional language, environmental print, test taking, language st
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ructures, classroom rituals and routines, textbooks, and paper-and-pencil assignments. It includes an interpretation guide to indicate level of access to classroom instruction.
Hearing Aid Listening Check Instructions - Spanish
$ 0
Hearing aids need to be monitored every day by a normal hearing listener, especially if the child is very young, is new to wearing hearing aids, or uses them inconsistently. This resource provides a s
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tep-by-step approach to performing a daily listening check to a child’s hearing aids.
Accommodations to Consider for Students with Hearing Loss
$ 0
One-page checklist for school teams to use when considering school accommodations for students with hearing loss.
CHILD checklist for families to complete - Children's Home Inventory of Listening Difficulties - fillable
$ 250
Family Checklist - 15 questions about listening in home and community situations. 8-point rating scale (Understand-O-Meter). Listening Situation Breakdown resulting in scores for Quiet, Noise, Distanc
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e, Social and Media.
The Pragmatics Checklist - Social Communication Skills (fillable)
$ 395
Fillable version of checklist to screen for pragmatic language issues ages 2-7. By age 4 years, 43 of 45 items are typically communicated using complex language. Many children with hearing loss are 3
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years delayed and continue to use 1-3 words rather than full sentences. Includes interpretation and intervention information.
Hearing Aid Monitoring Checklist - Early School Age- Pictures (fillable)
$ 425
Fillable checklist for student to complete daily. Uses pictures along with written questions. 1 page per week.
Information Exchange Form - Supporting the Child with Cochlear Implant
$ 0
This form is designed to be used, with parent permission, to gather relevant information about a child with cochlear implants or hearing aids including all service providers, hearing device informatio
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n, communication checklist, MaP or hearing aid fitting information.
Large Group Teacher LIFE
$ 2
This checklist is designed to be a pretest/post-test when a Classroom Amplification Distribution System (CADS or soundfield amplification) is used in a classroom in which large group instruction is pr
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esented. The classroom teacher rates the general responsiveness of students during instruction on a 1-5 rating scale. Includes room for minimal comments.
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