Methodology for Identifying Individuals with Cluttering Test - the question form

Questions: 33 · 7 minutes
1. I repeat syllables, words, or phrases.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
2. Delays in starting words or sentences; pauses at the beginning of words or sentences.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
3. Disruptions in fluency in preschool age; no remissions; never spoke fluently.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
4. Overall speech disorganization ("getting mixed up" in words, word-finding, forgetting/recalling words).
1 – Not always
2 – A little
3 – Quite a lot
4 – A great deal
5. Pauses while speaking; use of interjections or filler words.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
6. Pauses before initial vowels.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
7. I speak at a fast rate (tachylalia).
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
8. High verbal activity; extraverted; an irresistible urge to talk.
1 - Not always
2 - A little
3 - Quite a lot
4 - Very much
9. Interrupted breathing (irregular breathing rhythm).
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
10. Speech is unclear due to omitted sounds or unstressed syllables.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
11. Mispronunciation of sibilant, hushing, and sonorant sounds.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
12. My speech improves when I consciously monitor it (for example, during brief periods of increased attention to my own speech).
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
13. Has difficulty following instructions (impatient, inattentive listener).
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
14. Short attention span; difficulty concentrating.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
15. Difficulty with coherent monologic speech (problems organizing events in sequence).
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
16. Difficulty finding words.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
17. My overall pronunciation is not within the normal range.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
18. Use of language structures that are below expected norms; limited grammar and syntax.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
19. Clumsiness and poor coordination; increased motor activity.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
20. Reading difficulties are present.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
21. Disorganized handwriting; poor motor control.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
22. I make letter and word transpositions, and omit letters and syllables when writing.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
23. Difficulty with spatial orientation; difficulty choosing the correct hand.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
24. My voice changes from loud to quiet, to mumbling.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
25. I feel that I think faster than I can speak or write; my thoughts race.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
26. My mathematical ability and abstract thinking are above average.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
27. Disrupted rhythm, poor sense of timing, and low musical ability (may dislike singing).
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
28. Incorrect stress placement in speech; limited prosodic variation across syllables.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
29. Physically small and/or not appropriate for age.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
30. Other family members have the same or similar speech difficulties.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
31. Messiness, carelessness, rushing, impulsivity, forgetfulness.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
32. Impatience, irritability.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
33. Often shows limited awareness of the problem and appears unconcerned about inappropriate behavior and responses.
1 – Not always
2 – A little
3 – Quite a lot
4 – Very much
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