Cognitive-Linguistic Quick Test (CLQT) Cognitive-Communication Assessment

Inspection template for administering the Cognitive Linguistic Quick Test (CLQT) to document cognitive-communication performance across attention, memory, executive function, language, and visuospatial skills after neurological injury.

Assessment Details and Clinician Verification

• Assessment date and time recorded
• Clinician is qualified to administer CLQT
  Confirm the administrator is a licensed or otherwise qualified speech-language pathologist or clinician authorized to administer the assessment.
• Reason for assessment documented
  Examples include post-stroke evaluation, traumatic brain injury follow-up, baseline cognitive-communication screening, or change in status.
• Relevant neurological history reviewed
  Document diagnosis, onset date, and any precautions that may affect participation or interpretation.
• Informed consent or assent obtained per facility policy

Administration Conditions

• Testing environment free from major distractions
  Room is quiet, well lit, and supports standardized administration without interruptions.
• Patient alertness and participation adequate for valid testing
  Observe whether fatigue, pain, delirium, aphasia severity, or reduced arousal may affect validity.
• Vision and hearing supports in place as needed
  Glasses, hearing aids, or other supports are available and used if applicable.
• Standardized instructions delivered without unauthorized cueing
  Confirm prompts, repetition, or assistance remained within test guidelines.
• Interruptions or deviations from standard administration documented

CLQT Domain Performance

• Attention performance observed and recorded
  Document sustained, selective, alternating, and divided attention behaviors as applicable.
• Memory performance observed and recorded
  Document immediate recall, delayed recall, recognition, and working memory behaviors as applicable.
• Executive function performance observed and recorded
  Document initiation, planning, organization, self-monitoring, problem-solving, and error awareness.
• Language performance observed and recorded
  Document comprehension, naming, verbal expression, and word retrieval behaviors as applicable.
• Visuospatial performance observed and recorded
  Document visual scanning, constructional skills, spatial organization, and neglect indicators if present.

Results, Interpretation, and Clinical Impact

• Overall cognitive-communication strengths identified
• Primary deficits or non-conformances identified
  Summarize the most clinically significant weaknesses affecting communication or functional cognition.
• Functional impact on daily communication documented
  Describe how findings affect conversation, following directions, safety awareness, work, or independent living tasks.
• Recommendations for treatment or referral documented
  Include therapy plan, compensatory strategies, caregiver education, or referral to other disciplines as indicated.

Scoring and Sign-Off

• CLQT scores entered accurately
  Enter domain scores, severity ratings, or other facility-required scoring outputs.
• Interpretation aligns with observed performance
  Confirm the written interpretation is consistent with test behavior, supports, and any administration deviations.
• Clinician signature captured