10/25/25, 5:07 PM Transcript
Elaina Troup
Assessment Results
Client Name: Hadley- Assessment (SLP)
Examination Date: October 18th, 2025
Mode: learning
Case History 100/100
Collaborators 100/100
Hypothesis ✓
Assessments 100/100
Skills Check 100/100
Diagnosis 100/100
Recommendations 100/100
Completion Time 282 Minutes
Your Competency Score 100%
Overall Competency Rating
Mastering Competency
Skills Check
Goldman-Fristoe Test of Articulation 3 (GFTA-3): Sounds-In-Words (Ages 2:0-6:11) 100/100
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 1/74
,10/25/25, 5:07 PM Transcript
Speech Intelligibility 100/100
Oral Mech-Pediatric 100/100
Clinical Evaluation of Language Fundamentals- Preschool 2nd Ed. Receptive 100/100
Language Index
Clinical Evaluation of Language Fundamentals- Preschool 2nd Ed. Expressive 100/100
Language Index
Completed 5 of 5
Clipboard Contents
Case History
Reflective (+): 29
Acceptable (0): 11
Rejected (-): 0
Identifying / Family Information
3 minutes 26 seconds
Review the Case History Intake Form Hadley's mother completed.
Enter notes in the clipboard after viewing the response.
18 minutes 57 seconds
Review the initial evaluation report and IEP from Hadley's entrance
to Early Childhood.
Enter notes in the clipboard after viewing the response.
19 minutes 24 seconds
Does Hadley have any siblings?
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 2/74
,10/25/25, 5:07 PM Transcript
Yes, she has a twin brother, Jack, and an older sister, MacKenzie.
19 minutes 29 seconds
What is the primary language in your home?
English is the primary language spoken in our home.
19 minutes 43 seconds
Is there any history of speech, language, or hearing difficulties in
your family? If so, please describe.
Please refer to Case History Form.
19 minutes 53 seconds
I saw in the Case History Intake Form that Hadley has been
diagnosed with a genetic condition. Please tell me about that.
Yes, Hadley has something called Coffin-Siris syndrome. When she
was very young, she wasn't growing as well as Jack, so because I
have Hashimoto's disease, I asked for a referral to a pediatric
endocrinologist. That doctor diagnosed her with a growth
deficiency and thyroid issues but also referred us for genetic
testing. She was diagnosed with CSS, which helps to explain her
delays in growth and speech.
Areas of Concern
20 minutes 58 seconds
What are your goals for Hadley?
I want her to grow, and learn, and play, and have friends just like
all of the other kids. We have been working so hard with therapy,
and doctors, and early services to try to get her ready for
kindergarten so she can do all of those things. So far she is a happy
little girl, and I want her experiences to stay positive so that it stays
that way.
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 3/74
, 10/25/25, 5:07 PM Transcript
4 hours 20 minutes 14 seconds
In the Case History Intake Form, you reported speech and
language concerns; are those still your main concerns?
I have two major areas of concern right now. I want to make sure
that Hadley continues to grow, which I feel is being well-addressed
and that we are making progress in that area. I also want to make
sure that she is ready to start kindergarten. My main concern
about that is her speech. If her speech doesn't get better, then her
teacher won't be able to understand her and neither will the other
kids. We can't have a situation where Hadley is dependent on Jack
for her communication with others, either. That won't be good for
either one of them.
4 hours 20 minutes 21 seconds
You reported difficulty with specific sounds. Can you please
elaborate?
She has a lot of trouble with a lot of sounds. It seems like she can't
get the consonants at the beginning or ends of words. She tries
really hard but is just not able to make most sounds correctly.
4 hours 20 minutes 52 seconds
Have you seen any improvement or decline in the last 6 months?
Please refer to Case History Form.
4 hours 20 minutes 58 seconds
Are you concerned about her learning or academic skills?
No, I'm not. Her preschool teacher and the speech therapist at
school tell me she is learning all the things she needs to know
before kindergarten. And the only goals they have on her IEP are
speech goals.
4 hours 21 minutes 5 seconds
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 4/74
Elaina Troup
Assessment Results
Client Name: Hadley- Assessment (SLP)
Examination Date: October 18th, 2025
Mode: learning
Case History 100/100
Collaborators 100/100
Hypothesis ✓
Assessments 100/100
Skills Check 100/100
Diagnosis 100/100
Recommendations 100/100
Completion Time 282 Minutes
Your Competency Score 100%
Overall Competency Rating
Mastering Competency
Skills Check
Goldman-Fristoe Test of Articulation 3 (GFTA-3): Sounds-In-Words (Ages 2:0-6:11) 100/100
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 1/74
,10/25/25, 5:07 PM Transcript
Speech Intelligibility 100/100
Oral Mech-Pediatric 100/100
Clinical Evaluation of Language Fundamentals- Preschool 2nd Ed. Receptive 100/100
Language Index
Clinical Evaluation of Language Fundamentals- Preschool 2nd Ed. Expressive 100/100
Language Index
Completed 5 of 5
Clipboard Contents
Case History
Reflective (+): 29
Acceptable (0): 11
Rejected (-): 0
Identifying / Family Information
3 minutes 26 seconds
Review the Case History Intake Form Hadley's mother completed.
Enter notes in the clipboard after viewing the response.
18 minutes 57 seconds
Review the initial evaluation report and IEP from Hadley's entrance
to Early Childhood.
Enter notes in the clipboard after viewing the response.
19 minutes 24 seconds
Does Hadley have any siblings?
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 2/74
,10/25/25, 5:07 PM Transcript
Yes, she has a twin brother, Jack, and an older sister, MacKenzie.
19 minutes 29 seconds
What is the primary language in your home?
English is the primary language spoken in our home.
19 minutes 43 seconds
Is there any history of speech, language, or hearing difficulties in
your family? If so, please describe.
Please refer to Case History Form.
19 minutes 53 seconds
I saw in the Case History Intake Form that Hadley has been
diagnosed with a genetic condition. Please tell me about that.
Yes, Hadley has something called Coffin-Siris syndrome. When she
was very young, she wasn't growing as well as Jack, so because I
have Hashimoto's disease, I asked for a referral to a pediatric
endocrinologist. That doctor diagnosed her with a growth
deficiency and thyroid issues but also referred us for genetic
testing. She was diagnosed with CSS, which helps to explain her
delays in growth and speech.
Areas of Concern
20 minutes 58 seconds
What are your goals for Hadley?
I want her to grow, and learn, and play, and have friends just like
all of the other kids. We have been working so hard with therapy,
and doctors, and early services to try to get her ready for
kindergarten so she can do all of those things. So far she is a happy
little girl, and I want her experiences to stay positive so that it stays
that way.
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 3/74
, 10/25/25, 5:07 PM Transcript
4 hours 20 minutes 14 seconds
In the Case History Intake Form, you reported speech and
language concerns; are those still your main concerns?
I have two major areas of concern right now. I want to make sure
that Hadley continues to grow, which I feel is being well-addressed
and that we are making progress in that area. I also want to make
sure that she is ready to start kindergarten. My main concern
about that is her speech. If her speech doesn't get better, then her
teacher won't be able to understand her and neither will the other
kids. We can't have a situation where Hadley is dependent on Jack
for her communication with others, either. That won't be good for
either one of them.
4 hours 20 minutes 21 seconds
You reported difficulty with specific sounds. Can you please
elaborate?
She has a lot of trouble with a lot of sounds. It seems like she can't
get the consonants at the beginning or ends of words. She tries
really hard but is just not able to make most sounds correctly.
4 hours 20 minutes 52 seconds
Have you seen any improvement or decline in the last 6 months?
Please refer to Case History Form.
4 hours 20 minutes 58 seconds
Are you concerned about her learning or academic skills?
No, I'm not. Her preschool teacher and the speech therapist at
school tell me she is learning all the things she needs to know
before kindergarten. And the only goals they have on her IEP are
speech goals.
4 hours 21 minutes 5 seconds
https://www.simucase.com/simucase/simulation/download_assessment/84f22e80-f84e-4e40-8955-58b9dcbe572d 4/74