All children ages birth to 36 months in the Early Head Start program are required to be screened for hearing and language. These screenings allow for children at risk for communication disorders to be enrolled in intervention as quickly as possible. Guardians and teachers are the most knowledgeable regarding the abilities of the children in their care. A new guardian and teacher questionnaire were created and given to the caretaker and teacher respectively to be filled out prior to the child's screening appointment. The researcher compared the speech and language abilities reported by the guardian and teacher with the score of the Early Language Milestone Scale-Second Edition. The goal of this study was to see where the discrepancies were between the screening results and survey responses so that changes could be made to the screening process. This information will allow the Truman State Speech and Hearing Clinic to improve the reliability of screenings administered to the Early Head Start population.