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Speech Therapy Exercises to Print: 15 Free Sheets Organized by Level

Whether you are a parent of a young child struggling with reading, a family caregiver of a relative in post-Stroke rehabilitation, or a speech therapist looking for new materials for your sessions, printable speech therapy exercises are a fundamental resource to support daily progress. This guide presents 15 sheets structured by difficulty level and age group, directly printable with one click thanks to the “ 🖨 Print this sheet” button available on each one.

In the French speech therapy landscape, printed materials remain an essential pillar. Despite the digital revolution, paper sheets still hold a prominent place in clinics and at home, as they meet specific needs that digital solutions do not always cover: ease of use, the ability to annotate, absence of screens, easy sharing between professionals and families. This article offers a comprehensive overview of 15 essential exercises, each tailored to a specific level, with an integrated print button to immediately download the sheet in PDF format.

Why structure exercises by level?

The most common mistake when discovering printable speech therapy exercises is to download sheets randomly, without considering the actual level of the person being supported. This results in a pile of disparate documents, some too easy (boredom, disengagement), others too difficult (failure, discouragement), and ultimately, no progress is made. A structured approach by level solves this problem by allowing everyone to find their appropriate working zone.

The zone of proximal development

The concept of "zone of proximal development," formulated by Russian psychologist Lev Vygotsky, is essential for understanding the effectiveness of speech therapy exercises. This zone corresponds to what the person cannot do alone but can do with slight assistance. It is in this zone that learning occurs. Below it, one merely repeats what they already know; above it, one fails despite help. The challenge is to keep the exercise consistently within this zone, which shifts as the person progresses.

This is why the sheets should be organized by progressive levels. One starts slightly below the current level to reassure and establish a success dynamic, then gradually moves up to the active learning zone. This graduated approach avoids abrupt breaks that discourage.

The importance of prior diagnosis

To correctly position the person on the level scale, one must first know where they stand. A professional speech therapy assessment remains the absolute reference, but there are also more accessible evaluation tools. Our free online memory test, our concentration test, or our executive functions test can serve as useful benchmarks before choosing the right exercise sheets.

How to use these printable sheets?

Each sheet presented below includes a “ 🖨 Print this sheet” button at the top right. Click on it, and your browser will open the print window. You can then:

  • Print directly to your printer (standard A4 paper, optimized format)
  • Save as PDF by selecting “Save as PDF” as the printer (ideal for archiving or emailing)

All sheets are designed to fit on a single A4 page, with a clear, airy, and functional layout for individual or clinic work.

LEVEL 1 — Discovery and initial acquisitions

The first three sheets are aimed at young children awakening to written language (3 to 6 years old), and more broadly at anyone facing significant initial recovery difficulties (aphasic patients in the acute phase, for example). They work on the foundations of oral and written language.

SHEET N°1

Phonological awareness — The initial sound

Level 13-6 yearsPhonology
Circle all the images that start with the sound [A] like in “airplane”.
✈️airplane
🐝bee
🐱cat
🍎apple
🦓donkey
🌳tree
🐶dog
anchor
🚗car
🦒giraffe
🍇grape
🌧️shower

✏️ Now, name 3 other words that start with [A]: ____________________

💡 Pro tip: Clearly vocalize the target sound before the exercise, and have the child say it out loud. Clap your hands for each syllable to anchor the awareness of syllabic segmentation.
SHEET N°2

Vocabulary — Categorization by theme

Level 13-6 yearsLexicon
Color the animals in BLUE, the fruits in RED, the clothes in GREEN.
🐘elephant
🍌banana
👕t-shirt
🍓strawberry
🦊fox
👖pants
🐰rabbit
🍐pear
🧦sock
🍒cherry
🐺wolf
🧥coat

✏️ How many animals? ___     How many fruits? ___     How many clothes? ___

💡 Pro tip: Ask the child to name each image out loud before coloring it. If a word is missing, provide it clearly, have them repeat it, then return to the image a few minutes later to check memorization.
SHEET N°3

Word-image matching

Level 1All agesReading
Connect each image to the corresponding word.
🐠
━━━━━
CAT
🌞
━━━━━
HOUSE
🏠
━━━━━
FISH
🚲
━━━━━
SUN
🐈
━━━━━
FLOWER
🌹
━━━━━
BICYCLE
💡 Pro tip: For aphasic patients, start with a maximum of 4 pairs. For children learning to read, you can go up to 10 or 12 pairs depending on their attention capacities.

LEVEL 2 — Consolidation of the basics

Sheets 4, 5, and 6 are suitable for children in CP-CE1 and adult patients in initial recovery. They consolidate the foundations laid at level 1 by introducing the reading of short sentences, fine discrimination, and short-term memory.

SHEET N°4

Reading simple sentences with comprehension

Level 2CP-CE1Reading
Read each sentence and then circle the corresponding image.
1.The cat drinks milk from a blue bowl.    🐱🥛   🐶🍖   🐰🥕
2.The girl eats a red apple under the tree.    👧🍌   👧🍎   👦🍎
3.The boy runs on the beach with his ball.    👦⚽   👧⚽   👦📚
4.Mom reads a book on the couch.    👩📺   👩📖   👨📖
5.The dog sleeps in front of the fireplace.    🐕💤   🐈💤   🐕🍖
6.Grandpa gardens and plants flowers.    👴🌷   👴🚗   👵🌷
7.The bird sings at the top of the big tree.    🐦🌳   🐠🌊   🐦🏠
8.The children play in the snow with a snowman.    👫⛄   👫🏖️   👶⛄
💡 Pro tip: If the child has difficulties, ask them to read the sentence out loud and explain what they understood before choosing the image. This verbalization helps clarify their own representations.
SHEET N°5

Auditory discrimination — Minimal pairs

Level 25-8 yearsPhonology
The speech therapist pronounces a word. Circle the word they said in each line.
Word 1Word 2Word 3
1BAINPAINMAIN
2BOUCHEBÛCHEMOUCHE
3FOURTOURJOUR
4POULEBOULEFOULE
5CHATJASCHAS
6VINFINPIN
7RIRELIREDIRE
8SOIRVOIRNOIR
9GARECAREBARRE
10TASSECASSEMASSE
💡 Pro tip: Articulate very clearly, without artificial exaggeration. Vary the pace: some words said slowly, others quickly, to exercise discrimination in varied conditions.
SHEET N°6

Short-term visual memory

Level 2All agesMemory
Observe the first board for 15 seconds, then hide it and circle the objects you saw in the second board.

📋 BOARD TO REMEMBER (15 seconds)

🍎🚗🌸🐶
📚🍌🎈

✂️ — — — — HIDE THE BOARD THEN GO BELOW — — — —

✏️ CIRCLE THE SEEN OBJECTS

🍎🐱🚗📚
🌸🍕🎈
🐶🎸🍌🚲
💡 Pro tip: This exercise is particularly well-suited for working in pairs: a relative shows the board then hides it, and the accompanied person must recall. The relational dimension is valuable.

LEVEL 3 — Intermediate level

Sheets 7, 8, and 9 are suitable for children in CE2-CM2 and adults in advanced recovery. They address fine comprehension, structured grammar, and categorical thinking.

SHEET N°7

Short text with comprehension questions

Level 3CE2-CM2 / AdultsComprehension
Read the text carefully, then answer the questions below.
📖 The Sunday morning market


Every Sunday morning, Lucie accompanies her grandmother Marthe to the market at Place du Centre. They leave at 9 o'clock, after a hearty breakfast. Marthe always buys the same products: three red apples, a country bread, goat cheese, and a bouquet of yellow roses. Lucie, on the other hand, prefers to choose strawberries when it's in season. This week, they met Mr. Bernard, the baker, who offered them a warm croissant. Marthe smiled and thanked him warmly. On the way back, Lucie dropped the strawberries. They had to buy some again at the local grocery store before returning home.

1. What time do they leave for the market?

2. What fruit does Lucie prefer?

3. How many apples does Marthe buy?

4. Who offered them a croissant?

5. Why did they stop at the grocery store?

6. What feeling does Marthe express when she receives the croissant?

💡 Pro tip: Allow re-reading as many times as necessary. The goal is not memorization but comprehension. Implicit questions (4, 6) are often more difficult than explicit ones (1, 2, 3).
SHEET N°8

Conjugation and grammatical agreements

Level 3CE2-CM2Grammar
Complete each sentence with the correct form of the verb (in parentheses).
1.Yesterday, I to the park with my friends. (go, past tense)
2.Every morning, the postman the mail. (bring, present)
3.When I was little, I soccer every day. (play, imperfect)
4.Tomorrow, we to the sea. (leave, future simple)
5.The children very happy with their gifts. (be, present)
6.You a lot of progress this year. (make, past tense)
7.While you , I was preparing the meal. (sleep, imperfect)
8.If you softly, you will succeed. (speak, present)
9.The flowers in the garden in all colors. (be, present)
10.We in France next summer. (come back, simple future)
💡 Pro tip: Rather than correcting mistakes immediately, ask the child to read their sentence aloud. The ear sometimes detects what the eye has missed.
SHEET N°9

Finding the intruder in a category

Level 3Adults / 8+Categorical thinking
In each line, circle the intruder and explain why in one sentence.
1.APPLE — PEAR — CARROT — BANANA — GRAPE — STRAWBERRY
Why?
2.VIOLIN — TRUMPET — DRUM — PIANO — CHAIR — GUITAR
Why?
3.DOCTOR — NURSE — SURGEON — BAKER — DENTIST — PHARMACIST
Why?
4.BLUE — RED — YELLOW — FAST — GREEN — ORANGE
Why?
5.JANUARY — FEBRUARY — TUESDAY — MARCH — APRIL — JUNE
Why?
6.LION — TIGER — DOG — ELEPHANT — GIRAFFE — ZEBRA
Why?
7.FORK — KNIFE — SPOON — HAMMER — PLATE — GLASS
Why?
8.PARIS — LYON — MARSEILLE — TOULOUSE — BERLIN — BORDEAUX
Why?
💡 Pro tip: Always ask to justify the choice of the intruder. This verbalization is often more instructive than simple identification: it reveals reasoning and enriches conceptual vocabulary.

LEVEL 4 — Advanced level

Sheets 10, 11, and 12 are suitable for teenagers and adults. They involve more complex skills: structured written production, logical-mathematical reasoning, and mental flexibility.

SHEET N°10

Guided written production

Level 4Teens / AdultsProduction
Based on the described situation, answer the guided questions to build a complete story.
🎬 Situation: A man is waiting alone at the train station. He looks at his watch. He has a large bouquet of flowers in his hand. A young woman arrives running.

📝 Build your story by answering the 5 questions:

1.Describe the scene at the train station in 2 sentences (time, atmosphere, weather, train):

2.Who is this man? Who is he waiting for? Why does he have flowers?

3.What does he feel before the arrival of the young woman?
4.Imagine their dialogue upon arrival (at least 3 exchanges):


5.How does the scene end? What do they do next?

💡 Pro tip: Accept crossings out and reformulations. Written production is a process, not a finished product. What matters is the progressive richness of the content.
SHEET N°11

Mental calculation and problem solving

Level 4AdultsLogic
Solve each everyday problem. Write your calculation and then the answer.
1.Marie buys 3 baguettes at €1.20 each and a croissant for €1.50. She pays with a €10 bill. How much change does she receive?
Calculation: Answer:
2.The train departs at 2:35 PM. The journey lasts 2 hours and 45 minutes. What time does it arrive?
Calculation: Answer:
3.A recipe for 4 people requires 200g of flour. How much is needed for 6 people?
Calculation: Answer:
4.A sweater cost €80. It is discounted by 25%. What is its new price?
Calculation: Answer:
5.In a class of 28 students, there are 16 girls. What percentage of boys?
Calculation: Answer:
6.It takes 1L 800ml of water for a recipe. I have already added 950ml. How much more do I need to add?
Calculation: Answer:
7.A book has 320 pages. I have read 3/8 of the book. How many pages have I read?
Calculation: Answer:
8.My subscription costs €12.50 per month. How much do I pay for the year?
Calculation: Answer:
💡 Pro tip: Encourage verbalization of reasoning before calculation. Understanding how to approach it is more important than arriving at the correct result.
SHEET N°12

Anagrams and word games

Level 4AdultsVocabulary
Put the letters in the correct order to find the word. Hint: all the words on this sheet are animal names.
1.P A C N H I →     7.R F E A G I →
2.E P E É H L N T →     8.R O P S A I N →
3.A G I L E A →     9.M A L A R D O N E →
4.A B I L E P N →     10.T O R N P A H E →
5.U R E I C É R E →     11.I N R E A →
6.C O T O R O D I E L →     12.S U R O O T →

Solutions: 1.CHIPAN-PHACIN... (to be discovered!) — The solutions are deliberately hidden: let the person search independently.

💡 Pro tip: For patients in difficulty, start with words of 4-5 letters with a given theme. For advanced patients, launch anagrams of 7-9 letters without an explicit theme.

LEVEL 5 — Expert level

Sheets 13, 14, and 15 are the most demanding. They engage pragmatic language, complex synthesis, and dual cognitive tasks — skills often impaired in autism, frontal lesions, or advanced neurodegenerative diseases.

SHEET N°13

Understanding figurative expressions

Level 5Teens / AdultsPragmatics
For each expression, check the correct meaning among the three propositions.
1.“To have a heart on the hand”

To have heart problems   
To be very generous   
To have a medical examination
2.“To fall into the apples”

To slip in the orchard   
To faint   
To eat too much fruit
3.“To strike while the iron is hot”

To take advantage of the right moment to act   
To do some cooking   
To iron the laundry
4.“To put the cart before the horse”

To work the land   
To do things in the wrong order   
To raise cattle
5.“To give one's tongue to the cat”

To have a pet   
To give up finding an answer   
To kiss someone
6.“To have a wolf's hunger”

To love wolves   
To be very very hungry   
To eat meat
7.“To have a hair in the hand”

To be lazy   
To be very hairy   
To have pain in the hand
8.“To split hairs”

To go to the hairdresser   
To complicate things unnecessarily   
To have long hair
💡 Pro tip: If the person fails, explain the historical or cultural origin of the expression. This contextualization helps to understand the underlying logic and facilitates learning by association.
SHEET N°14

Text synthesis and summary

Level 5AdultsSynthesis
Read the text, identify the 3 key ideas, and then write a summary of 60 to 80 words maximum.
📰 The Secret Life of Trees


For a long time, scientists believed that trees were solitary organisms, competing against each other for light and resources. Recent research has overturned this view. Thanks to complex networks of underground fungi, called mycorrhizae, trees actually communicate with each other. They exchange sugars, nutrients, and even alarm signals when a parasite threatens the forest. Adult trees nourish their young shoots, sometimes even those of other species. This forest solidarity was completely unknown thirty years ago. It profoundly changes our perspective on nature: the forest is not a juxtaposition of trees but a true collective organism, where each individual contributes to the health of the whole. The consequences for forest management are considerable: cutting down a tree breaks invisible links that have taken years to build.

📝 Step 1 — What are the 3 key ideas?

A.
B.
C.

📝 Step 2 — Write your summary (60-80 words):





💡 Pro tip: Proceed step by step: first identify the main theme, then highlight three key pieces of information, and finally write the summary. This structuring helps patients with executive dysfunction.
SHEET N°15

Dual Task — Calculation and Memory

Level 5AdultsExecutive Functions
Step 1: Memorize the list of 5 words below (30 seconds). Step 2: Perform the 6 calculations. Step 3: Recall the 5 words in order, without looking.

📋 STEP 1 — Memorize these 5 words (30 seconds)

BICYCLE
CLOUD
POT
CLOCK
VOLCANO

⏱ STEP 2 — Now, perform these calculations

17 + 28 = ?
54 - 19 = ?
8 × 7 = ?
72 ÷ 9 = ?
13 + 47 = ?
91 - 36 = ?

📝 STEP 3 — Without looking, recall the 5 words

1.
2.
3.
4.
5.
💡 Professional advice: Start with the simple task (just memorizing, or just calculating). Then gradually introduce the dual requirement. Monitor fatigue: the dual task is very cognitively demanding.

How to progress between levels?

The challenge is not only to complete the exercises at one level but to progress harmoniously to the next level. This progression requires method, patience, and careful observation of the person being supported. Here are the essential principles for effectively managing the increase in difficulty.

The mastery criterion

Before moving to the next level, it is essential to ensure that the current level is solidly mastered. The usual criterion is 80 to 90% success over three consecutive sessions. Below this, weaknesses persist and may compromise more advanced acquisitions. Above this, the exercise has become too easy and no longer provides progression.

Systematically document performances to objectively assess this mastery. Our skills tracking table allows for precise cataloging of acquisitions and their stabilization levels. This structuring tool is particularly useful for long-term programs.

The gradual transition

Rather than abruptly moving from one level to another, it is better to make smooth transitions. For one or two weeks, alternate between cards from the acquired level (which maintain confidence) and cards from the higher level (which establish new skills). This mix avoids discouraging breaks.

The role of consolidation stages

At certain points in the journey, it is useful to take a break and consolidate the acquisitions before increasing the difficulty. These stages allow the brain to integrate new skills durably, automate processes, and free up resources for future learning. A consolidation period of two to three weeks after each level jump is often beneficial.

The key role of regularity in progression

Beyond the choice of cards and their level, the regularity of use is a determining factor for achieving results. In speech therapy as in any learning, the brain needs spaced repetition to durably consolidate new skills. This temporal dimension is often overlooked by enthusiastic families who start with fanfare and quickly exhaust themselves.

The principle of spaced repetition

Neuroscience has long demonstrated that it is better to space repetitions over time than to concentrate them. Learning ten new vocabulary words spread over five days will be much more effective than learning them all on the same day. This principle applies perfectly to speech therapy exercises: three short sessions per week will yield better results than a single long session.

In practical terms, this means it is better to plan 15 to 20 minutes of exercises per day, six days a week, than a long weekly session of an hour and a half. The brain works better when given time to integrate learning between two sessions.

Building a stable routine

Routine is the friend of regularity. When exercises are linked to a specific time of day and an identified place, engagement becomes almost automatic, almost like brushing teeth. No conscious choice is necessary each time, which saves willpower and preserves motivation in the long term.

The most effective routines are those that anchor to an already ritualized event: after breakfast, just before snack time, after the evening bath. This association with an existing event significantly facilitates the establishment of the new habit.

Managing periods of discouragement

Any regular program goes through phases of discouragement. The patient (or family) becomes weary, doubts progress, and wonders what the point is. These moments are part of the normal process and should not lead to abandonment.

Several strategies help to navigate through them. First, visualizing progress: regularly noting performances allows for objective observation of evolution. Next, changing the medium: alternating between paper cards and digital applications breaks the monotony. Our CLINT Brain Coach app can take over when the cards become repetitive. Finally, a voluntary break: taking a week off, rather than exhausting oneself, often helps to regain motivation.

Adapting materials to different types of patients

Beyond the level of difficulty, the cards must be adapted to the specific profile of each patient. The needs of a child with ADHD are not the same as those of a senior in the early stages of Alzheimer's disease; the materials for an aphasic adult do not correspond to those of a dysorthographic teenager.

For children with ADHD

Children with attention deficit disorder require particular materials: short cards (never more than one exercise per page), very visual instructions, generous graphic spacing. Avoid dense cards that quickly lose their attention. A particularly effective tip: present each card as a mini-mission with a specific goal and a set time.

For children with autism spectrum disorder

Autistic children appreciate very clear structures, predictable routines, and visual exercises. Cards suitable for them contain short instructions, illustrated with a pictogram indicating the nature of the task, without decorative overload. Progression should be very gradual, without surprises.

For patients with severe aphasia

For patients with severe aphasia, the cards must be radically simplified. One instruction per page, large and clear images, choices limited to 2 or 3 options. Frustration is the main enemy of aphasia rehabilitation: it is better to have an exercise that is too easy, restoring confidence, than one that is just a bit too difficult, which awakens feelings of incapacity. Using the emotion thermometer before and after each session is particularly valuable for these patients.

For seniors in the early stages of cognitive disorders

For seniors showing early signs of Alzheimer's disease or mild cognitive impairment, the cards should enhance without ever causing failure. Favor exercises with a strong autobiographical anchoring: recognizing songs from the past, identifying historical figures, completing traditional proverbs. These tasks rely on old memory, which is generally well preserved. Our SCARLETT Memory Coach app is designed precisely according to these principles: no score, no timer, no failure.

Digital supplements to printed cards

To enrich paper cards, digital applications provide a valuable complementary dimension. They offer what paper cannot give: immediate feedback, automatic adaptation of difficulty, statistical tracking, a playful dimension, accessibility anywhere.

For children aged 5 to 10, our COCO THINKS and MOVES app offers more than 30 educational games and 10 physical activities. Its unique feature: mandatory sports breaks every 15 minutes, which refresh attention and prevent screen addiction. It is a natural complement to printed cards for children struggling in school.

For adults, the CLINT Brain Coach app covers all cognitive functions with a sober and professional adult interface. Its automatic adaptation of difficulty makes it an intelligent complement to printed cards: when they have become too easy, the app maintains the optimal cognitive challenge.

Frequently asked questions

How to print a sheet from this page?

Simply click on the button "🖨 Print this sheet" located at the top right of each sheet. Your browser will then open the print window: you can print directly on paper or save as a PDF by selecting "Save as PDF" as the printer.

How to know at which level to start?

The simplest way is to offer a sheet at level 2 or 3 and observe the reaction. If the person succeeds easily, move up a level. If they struggle significantly, move down. The goal is to find the level where they succeed 70 to 85% of the exercise: enough to stay motivated, challenging enough to progress.

How long does it take to move from one level to the next?

There is no universal rule. For some patients, two to three weeks are enough to master a level. For others, two to three months are necessary. The pace depends on the pathology, the regularity of practice, and individual recovery abilities. Accept individual variations without comparing them.

Do I have to do the 15 sheets in order?

Not necessarily. Depending on the person's profile, some sheets are more relevant than others. A child with ADHD will particularly benefit from attention sheets. An aphasic patient from language sheets. A senior post-Stroke from a personalized combination. The speech therapist following the person can guide the choice.

Can I print in black and white to save ink?

For most sheets, yes. For visual discrimination exercises or color categorization, color printing is necessary. For others, black and white with good contrast is sufficient.

Can I modify the sheets before printing them?

Not directly from the web page. But once saved as a PDF, you can open them with software like Adobe Acrobat or a free PDF editor to annotate, add personalized remarks, or complete them with the patient's name before printing.

What to do if the person is bored with these exercises?

Boredom can signal that the exercises are too easy (move up a level), or that the paper format is no longer suitable (introduce digital supplements), or that regularity has killed motivation (take a one-week break and return with a new type of exercise). Boredom is always a signal to listen to, not to fight against.

To go further with DYNSEO

These 15 sheets structured by level provide an excellent starting point for structuring a coherent and progressive speech therapy pathway. But they are just part of the ecosystem of resources that can really make a difference.

At DYNSEO, we have been designing comprehensive tools for cognitive stimulation for thirteen years: fun mobile applications for all ages (COCO, CLINT, SCARLETT), free online cognitive tests, certified Qualiopi professional training, tracking tools for speech therapists and caregivers. Our belief: it is by intelligently combining free resources, digital tools, and professional support that the best results are achieved.

🎯 Evaluate for free before starting

Before choosing your cards, accurately identify the initial level with our free online cognitive tests. This will allow you to target the right exercises from the start.

Discover our free cognitive tests →

To explore our entire offering, visit our complete DYNSEO tools page or explore our professional training. The brain, at any age and in all situations, retains a remarkable capacity for learning and recovery. With the right cards, the right level, and the right method, significant progress is accessible to everyone. Download the 15 cards that correspond to your situation, structure your approach over time, and observe the changes day by day.

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