Aphasia History

Below is a template of questions to ask during the history portion of a patient interview in the initial consultation or subsequent followup notes. The template can be carried forward in all future notes.

History:

  • Symptom Onset: Time of onset

  • Progression: Slowly progressive, static, waxing and waning

  • Difficulty with expressing language:

  • Difficulty with repetition:

  • Difficulty with comprehension:

  • Provocative/Alleviating factors (if any):

  • Associated Symptoms:

  • Diagnostic Workup:

  • Speech Therapy Evaluation: