Chronological Age

 

Name:                 

Name of Book:               

Modified    New

 

Client Profile                        Y     N                                                     (10 Points)     

  • This would include (at least):
    • Chronological Age (1 point)
    • Linguistic Age     (1 point)
    • Cognitive Age (1 point)
    • Diagnosis (2 points)
  • Rationale for book choice given a discrepancy between the ages listed above:(5 points)

 

 

Adaptation appropriate for client                                                           (37points)     

  • Book adaptation to match:
    • Age OR
    • Grade Level  (1 point)
    • Physical abilities(3 points)
      • Description:
    • Environments(3 points)
      • Description:

 

  • Symbols system used in book (including explanation/rationale): (10 points)

 

  • “Reading” described at multiple levels?  (10 points)
  • “Writing” described at multiple levels?  (10 points)

 

 

 

Speech-Language Related Activities   Y     N                 (30 points)

  • Activity #1 (phonological or phonemic awareness task): (15 points)

 

  • Activity #2 (other): (15 points)

 

  • Notes:

Creativity/Presentation                                                                 (23 points)     

  • Does it look appealing and professional and demonstrate creativity?(2 points)
  • Are the instructions for implementation clear?(4 points)
  • Are all the pieces needed to carry out activities included (or described)?(3 points)
  • Does the content match the intended audience?(4 points)
  • Does it contain both embedded and explicit opportunities for instruction?(10 points)
  • Notes:

 

 

 

Total