Spoken Language Comprehension
| Level 1: |
The individual is alert, but unable to follow simple directions or respond to yes/no questions, even with cues. |
| Level 2: |
With consistent, maximal cues, the individual is able to follow simple directions, respond to simple yes/no questions in context, and respond to simple words or phrases related to personal needs. |
| Level 3: |
The individual usually responds accurately to simple yes/no questions. The individual is able to follow simple directions out of context, although moderate cueing is consistently needed. Accurate comprehension of more complex directions/messages is infrequent. |
| Level 4: |
The individual consistently responds accurately to simple yes/no questions and occasionally follows simple directions without cues. Moderate contextual support is usually needed to understand complex sentences/messages. The individual is able to understand limited conversations about routine daily activities with familiar communication partners. |
| Level 5: |
The individual is able to understand communication in structured conversations with both familiar and unfamiliar partners. The individual occasionally requires minimal cueing to understand more complex sentences/messages. The individual occasionally initiates the use of compensatory strategies when encountering difficulty. |
| Level 6: |
The individual is able to understand communication in most activities but some limitations in comprehension are still apparent in vocational, avocational, and social activities. The individual rarely requires minimal cueing to understand complex sentences. The individual usually uses compensatory strategies when encountering difficulty. |
| Level 7: |
The individual's ability to independently participate in vocational, avocational, and social activities is not limited by spoken language comprehension. When difficulty with comprehension occurs, the individual consistently uses a compensatory strategy. |
Copyright American Speech-Language-Hearing Association (ASHA) 1998. This scale is intended for the use of participants in the National Outcomes Measurement System who have successfully passed the NOMS User Registration Test. Use of this material by unqualified or unauthorized persons without the written consent of ASHA is prohibited.
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