Parent Questionnaire  (for children birth to 6th grade)

Use this questionnaire to help us determine if your child might qualify for speech and language therapy services.  We will contact you after the questionnaire is submitted to discuss the way forward for your child.

© 2019 by The Speech Corner LLC. Proudly created with

Claire C. Davis, MS, CCC-SLP, is a licensed Speech-Language Pathologist. She holds a Master’s degree in Communicative Disorders and a Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA).

About The Speech Corner, LLC


Contact Information

Phone: 360.630.8734

Fax: 703.780.0518


Areas We Serve: Alexandria, Fort Hunt, Mount Vernon, Fort Belvoir, Lorton, Kingstowne, Franconia, and Newington.  If your area is not listed, please call to see if we are available!