Hearing Evalutation Tool (Yes Test)



Hearing and Understanding






· Listens to speech.

· Startles or cries at noise

· Awakens at loud sounds.

· Ceases activity at a new sound


· Makes pleasure sounds.


0-3 Months

· Turns to you when you speak.

· Smiles when spoken to.

· Seems to recognize your voice and quiets if crying.

· Stops activity to pay attention to an unfamiliar voice.

0-3 Months

· Repeats the same sounds a lot (cooing, gooing).

· Cries differently for different needs.

· Smiles when she sees you.


4-6 Months

· Responds to "no" and changes in tone of voice.

· Looks around for the source of new sounds, e.g., doorbell, vacuum, dog.

· Notices toys that make sounds.

· Pays attention to music.

4-6 Months

· Babbling sounds more speech-like with many different sounds, including p, b, and m.

· Tells you (by sound or gesture) when he wants you to do something.

· Makes gurgling sounds when left alone and when playing with you.


7 Months-1 Year

· Enjoys games like peek-a-boo and pat-a-cake.

· Turns and looks up when you call her name.

· Listens when spoken to.

· Recognizes words for common items like "cup," "shoe," "juice."

7 Months-1 Year

· Babbling has both long and short groups of sounds such as "tata upup bibibibi."

· Uses speech or non-crying sounds to get and keep attention.

· Imitates different speech sounds.

· Has 1 or 2 words ("bye-bye," "dada," "mama," "no") although they may not be clear.


1-2 Years

· Points to pictures in a book when named.

· Points to a few body parts when asked

· Follows simple commands and understands simple questions ("Roll the ball," "Kiss the baby," "Where’s your shoe?").

· Listens to simple stories, songs, and rhymes.

1-2 Years

· Says more words every month.

· Uses some 1-2 word questions ("Where Kitty?" "Go bye-bye?" "What’s that?").

· Puts 2 words together ("more cookie," "no juice," "mommy book").

· Uses many different consonant sounds at the beginning of words.


2-3 Years

· Understands differences in meaning ("go-stop," "in-on," "big-little," "up-down").

· Notices sounds (telephone ringing, television sounds, knocking at the door).

· Follows two requests ("Get the book and put it on the table").

2-3 Years

· Has a word for almost everything.

· Uses 2-3 word "sentences" to talk about and ask for things.

· Speech is understood by familiar listeners most of the time.

· Often asks for or directs attention to objects by naming them.


3-4 Years

· Hears you when you call from another room.

· Hears television or radio at the same loudness level as other family members.

· Understands simple "who?," "what?," "where?" questions.

3-4 Years

· Talks about activities at school or at friends’ homes.

· Usually talks easily without repeating syllables or words.

· People outside family usually understand child’s speech.

· Uses a lot of sentences that have 4 or more words.





Hearing and Understanding





4-5 years

· Pays attention to a short story and answers simple questions about it.

· Everyone who knows child thinks she hears well. (Teacher, day care provider, family members).

· Hears and understands most of what is said at home and in school.

4-5 years

· Voice sounds clear like other children’s.

· Uses sentences that give lots of details (e.g. "I like to read my books").

· Tells stories that stick to topic.

· Communicates easily with other children and adults.

· Says most sounds correctly except a few, like l, s, r ,v ,z, j, ch, sh, th.

· Uses adult-like grammar.



All Yes: Good – Your child is developing hearing, speech, and language in the typical way.

1-2 No: Caution! Your child may have delayed hearing, speech, and language development.

Look at the "Communication tips" section in this brochure.

3 or More No: Action! Take your child for professional help. Contact your doctor.

© American Speech-Language-Hearing Association •


Communication Tips

Talk naturally to your child. Talk about what your child is doing, and what your child sees.

Take time to listen to your child. Respond to what is said so your child knows you have been listening.

Don’t push your child to learn to talk. Accept some speech mistakes as your child develops. Don’t ask your child to slow down or repeat.

Have your child’s hearing tested if you find you have to repeat a lot or have to talk loudly to get your child’s attention.

Seek professional help from an ASHA-certified audiologist or ASHA-certified speech-language pathologist if you’re unsure. Never wait to get help for your child if you suspect a problem. You and your family members know more about your child than anyone.

Early identification and treatment of hearing, speech, and language disorders can prevent problems with behavior, learning, reading, and social interactions.

Where to Get Help

If you think your child may have a speech, language, or hearing problem, you can contact an ASHA-certified

Audiologist: Audiologists are hearing care professionals who specialize in prevention, identification, and assessment of hearing and related disorders and provide treatment, rehabilitative services, and assistive devices.

Speech-language pathologist: Speech-language pathologists help people develop their communication abilities as well as treat speech, language, swallowing, and voice disorders. Their services include prevention, identification, evaluation, treatment, and rehabilitation.

ASHA-certified speech-language pathologists and audiologists have completed their master’s or doctoral degree and have earned ASHA’s Certificate of Clinical Competence (CCC).

American Speech-Language-Hearing Association

Speech-language pathologists and audiologists provide professional services in many different types of facilities such as:

· Public and private schools

· Colleges and universities

· Hospitals

· Private practices

· Rehabilitation centers

State and local health departments

· Nursing care facilities

· Community clinics

· industry


For further information about where to get help in your area, write, call, or email:

American Speech-Language-Hearing Association
10801 Rockville Pike
Rockville, MD 20852-3279
800-638-8255 (Voice or TTY)