Questionnaires – Merritt Speech & Learning, Inc.

Meet Odyssey, who is the Office Manager responsible for overseeing day-to-day operations. She will schedule appointments, coordinate essential services, assist with billing, and implement systems to maximize efficiency.

Before your consultation, you need to fill out a Questionnaire for Speech, Language or Learning Disabilities. Choose either the Adult or Child Questionnaire.
Please bring both the Questionnaire and the Checklist on your first visit.

NOTE: When you click on one of the links below it will open in a new tab. From there, you can fill out the Questionnaire online, then print it out.

NOTE: When you click on the link below, it will open in a new tab. From there, you can check the boxes on the Checklist, then print it out.

Adult Questionnaire for Speech, Language or Learning Disabilities

Child or Adolescent Questionnaire for Speech, Language or Learning Disabilities

Please watch the 40-minute Documentary before you come. This will answer many of your questions.

The Merritt Way Documentary

Is your child struggling in speech, language or learning? Have you worked with your child and is he/she still struggling? He/She may have a Processing Disorder. It could be a speech disorder, language disorder or phonological disorder. The most important question is, “What is the root problem?” It could be an Auditory or Visual or Motor Processing Disorder. Check the signs that apply to your child. If there are many, a thorough Auditory & Visual Processing Screening should be seriously considered. Click the link above for the Signs of Processing Deficits Checklist.