Adult Communication + Cognitive Screen | FREE SLP Resource

FREE Adult Communication + Cognitive Screen

An Informal Screening Tool for Adults. Identify the Areas of Concern.

The Language Lounge Adult Communication + Cognitive Screen is a free, clinician-friendly resource that helps speech-language pathologists quickly screen communication and cognitive-linguistic skills to determine whether further assessment is warranted.

WHAT'S INCLUDED :

(Page 1)

• A convenient, organized screening form featuring:
• Patient information and medical history
• Informal oral mech and cranial nerve assessment
• Motor speech and voice observations
• Receptive and expressive language
• Attention, memory, and orientation
• Repetition and temporal concepts
• Problem-solving and executive functioning
• Visuospatial skills
• Functional communication observations
• Simple clinical rating system
• Space for clinical impressions and recommendations

Sample Tasks & Questions

(Page 2)

A quick-reference guide with sample questions and tasks for each screening domain, plus space for clinical notes.

BONUS: Full-Size Kitchen Safety Picture Stimulus

An illustrated, 8.5 x 11-inch landscape picture featuring everyday household safety hazards. This versatile stimulus can screen expressive language, problem-solving, safety awareness, reasoning, and visual attention.

SIMPLE CLINICAL RATINGS

Each communication and cognitive domain includes a 0-3 clinical rating:

0 - No concern noted

1 - Mild concern

2 - Clear concern

3 - Significant concern

Ratings are based on clinical observations and professional judgment.

PRINT & USE

The screening form is designed for double-sided printing, and you can laminate the kitchen safety picture for repeated use.

PLEASE NOTE: This is an informal screening resource, not a standardized or norm-referenced assessment. It does not provide diagnostic scores or replace comprehensive evaluation when clinically indicated.

We'd love to hear your thoughts!

At Language Lounge, we believe clinical resources should be practical, thoughtfully designed, and easy to incorporate into everyday practice.

This complimentary resource is our way of sharing a little of what Language Lounge has to offer. If you find this resource helpful, we'd love to hear how it worked for you! Your feedback helps us continue creating practical, meaningful resources for adult speech-language therapy.

Thank you for exploring Language Lounge!

© 2026 Language Lounge. All rights reserved.

For individual professional use. Redistribution, resale, or sharing of the digital file is not permitted.