Technologies are described to provide autonomous speech and language assessments. In some examples, a method to conduct an autonomous speech and language assessment includes facilitating authoring of an autonomous speech and language assessment. The autonomous speech and language assessment may be interactions between one or more of a conversational module, an analytical module, and a control module, and the interaction may be specified using a visual programming language. The method may also include modeling the autonomous speech and language assessment as a graph using a conversation markup language, and conducting the autonomous speech and language assessment utilizing a conversational virtual agent.