Continuing Education Form – Apraxia Uncovered: The Seven Stages of Phoneme Development If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Please complete the form below to receive CEUs for your participation in the 3.5-hour self-study course, Apraxia Uncovered: The Seven Stages of Phoneme Development. Once your information is submitted, you will receive a reply email from us in 4-8 weeks containing your certificate of completion. Thank you! PARTICIPANT INFORMATION ENROLLMENT PIN * Your pin is found in the letter that came with your book & CD set and is used to verify your purchase. 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ASHA Account Number Or: Only if you are NOT an ASHA member, please complete the field below which is most appropriate. If you are not an ASHA member or CCC holder, you must be licensed or credentialed to practice speech-language pathology (SLP) or audiology or preparing to practice to earn ASHA CEUs. LICENSED - State and License # Only if you are NOT an ASHA member, please complete the field here which is most appropriate. CERTIFIED - State/Organization and # CLINICAL FELLOW - Supervisor Name and His/Her ASHA # STUDENT - Enrolled in a graduate program in SLP or audiology - University Name and Expected Graduation Date LEARNING ASSESSMENT Please feel free to reference your book or the lecture while answering questions. 1. Advancement through the seven stages is marked by periods of fast and slow skill acquisition. * True or False... True False 2. The seven stages should be regarded as rigid because, as is true of all developmental explanations of growth, there is no overlap of one stage and another. * True or False... True False 3. All speech movements begin as gross movements which are later honed into fine, specific skills. * True or False... True False 4. Pretend connected-speech really begins in Stage 6 with jargoning, word-jargonong and whispering. * True or False... True False 5. Closed syllables are an advanced skill and there is a tremendous amount of learning that takes place before reaching that level. * True or False... True False 6. Projecting, intoning, and laughing are all components of which stage? * Please select... Stage 1: Preparing Stage 2: Speechifying Stage 4: Oscillating/Babbling 7. During which stage does the child begin creating primitive sequences? * Please select... Vowelizing Oscillating/Babbling Diphthongizing 8. In typical development, Stages 1-3 dominate the first six months of life, and Stage 4 dominates from six-months until about what age? * Please select... 12 months 24 months 36 months 9. During which stage does the child experiment with vibrating, popping, and fricating? * Please select... Stage 1: Preparing Stage 3: Honing Stage 5: Solidifying 10. The seven stages should be viewed as what kind of program? * Please select... A loose collection of ideas A way to think through your approach to therapy A rigid step-by-step guide to speech development PROGRAM EVALUATION Please rate the following statements from 1 to 5 using the guide below. 1 = Strongly Disagree 2 = Somewhat Disagree 3 = Unsure 4 = Mostly Agree 5 = Strongly Agree 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The material in this recorded seminar was practical to speech-language therapy. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The material presented in the seminar was well-organized. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The speaker was knowledgeable about the subject matter. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The audio recording was of good quality and easy to hear. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The written material was easy to follow with the recording. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree This seminar was consistent with advertised content. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree The speaker was open about his/her financial and non-financial relationships; there was no apparent conflict of interest. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree My overall experience with this seminar was positive. 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Unsure 4 - Mostly Agree 5 - Strongly Agree I will be interested in additional recorded seminars from this speaker and company. Is there anything that you especially liked or disliked about this recorded seminar? Did you find anything challenging about the learning experience? If so, how could we have made it easier? Please use the space provided below to make comments on any of the items above or on any other aspect of your experience that you would like to bring to our attention.