Impact Stuttering Rating Scale Teacher Form

Instructions for teachers: Please complete the teacher rating scale below. Enter the email address of the clinician requesting this form. When the form is filled out and complete, click on the submit button. The system will automatically generate a protocol in pdf format that you can save for your records. The requesting clinician will also receive a copy of the protocol by email.

Accompanying videos that you can watch that will give you examples of what each question is asking are posted below as well. The videos are here to help you along if you have any questions regarding the skill that you are reviewing.