Stuttering Survey | Speech Therapy Questionnaire for Teachers and Parents

This Stuttering Survey gives SLPs, teachers, and parents an easy way to gather observations in a supportive, professional format. It comes in both printable worksheets and a Google Forms version for quick, digital use.

What’s Included (5 pages + Google Form):

✅ Background Information & Case History

✅ Core Stuttering Behaviors Checklist

✅ Secondary Behaviors Checklist

✅ Situational Factors & Impact Rating

✅ Feelings & Reflections Section

✅ Open-Ended Notes & Summary

Both versions make it simple to collect consistent information, support IEP planning, and better understand how stuttering affects each student.