Table 2.
PASS Domain | 0 normal |
0.5 questionable/very mild impairment |
1 mild impairment |
2 moderate impairment |
3 severe impairment |
---|---|---|---|---|---|
FLUENCY: Degree to which speech flows easily or is interrupted by hesitations, fillers, pauses; reduced fluency is associated with decreased phrase length and words per minute (WPM) | Normal flow of speech. | Speech contains occasional blank pauses or use of fillers (umm); reduced WPM and/or phrase length. | Speech is in short phrases, interrupted with pauses or groping for words but there are occasional runs of fluent speech. | Dysfluencies in most utterances; phrase length rarely exceeds three words. | Severely dysfluent speech; phrase length rarely exceeds one word. May not speak. |
SYNTAX AND GRAMMAR: Use of word forms (run, ran), functor words (the, an), and word order when forming phrases and sentences in most used modality (speech or writing) | No difficulty in the use of grammar and syntax. | Occasional agrammatism or paragrammatism (i.e., odd sentence structure such as, "I my car drive in your house."); may complain it is effortful to combine words into phrases or sentences | Frequent agrammatism; sentence structures are simple; frequent misuse/omission of grammatical words or morphology | Utterances contain mostly content words with rare use of syntactic word groupings, functor words, or morphological markers | Single word utterances or no speech/writing. |
SINGLE WORD COMPREHENSION: Ability to understand spoken or written single words | No difficulty understanding single words in conversation or testing. | Occasional difficulty understanding low frequency words (e.g., cork); may question the meaning of words (e.g., "What is a__?"). | Displays lack of word comprehension several times in a brief conversation but able to carry on reasonably meaningful conversation. | Understands some high frequency and/or familiar words. Questions the meaning of many words in conversation. | Minimal comprehension of single words. |