GLA_Handbook_Appendix_FV.
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            WellComm Score Sheet Section 1 (6–11 months)
               Child's Name
               Date of Birth                                Age (months)                   Gender        M/F
               Ethnicity                                                                   Date
                    What the child understands                                                      Yes/No (✓/✗)
               1      Does the child turn towards you when his/her name is called?
               2      Does the child relate two objects together in play?
               3      Does the child look at or point at an object and then look at you?
               4      Does the child follow an adult's gaze?
               5      Can the child follow simple instructions with non-verbal cues?
                    What the child uses                                                             Yes/No (✓/✗)
               6      Does the child hold up his/her arms to show he/she wants to be picked up?
               7      Can the child copy an action/gesture?
               8      Can the child point to ask for something?
               9      Does the child babble?
               10     Does the child shout to get an adult's attention?
                Total Score (0–10):
                Code (Green/Amber/Red):
                Please refer to 'Score Guide' below. N.B. The guide relates to scores achieved by
                11 months.
               Enter the Section (1–9) on which the child scored 'Green'. Only complete on            Section:
               the Score Sheet that corresponds to the child's age. For data collection only.
                Action:                                                                    Score Guide
                                                                                   (Score expected by 11 months)
                                                                                   Score                Code
                                                                                   8–10                Green
                N.B. Use your own knowledge of the child as well as                 6–7                Amber
                their WellComm code to make a decision regarding
                what to do next.                                                    0–5                  Red
                      WellComm © Sandwell Primary Care Trust 2010
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              Additional comments
             Additional comments regarding use of speech sounds
             Additional comments regarding attention and listening
             Additional comments regarding dysfluency/stammering
             Additional comments regarding any voice difficulties
                     WellComm © Sandwell Primary Care Trust 2010