Pragmatic Recommendations For Children With Hearing Loss Pragmatic speech is among the most difficult skills for children with hearing loss to master. There are checklists and tests that can be used to assess pragmatic speech development. For example for example, the Language Use Inventory is a valid and standardized checklist https://pragmatickr11975.madmouseblog.com/10908006/pragmatic-s-history-of-pragmatic-in-10-milestones