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AAC Device Trial Questionnaire

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AAC Device Trial Questions
Name:
Device:
Company:
Date of trial period:
Device Trial:
Describe child’s use of the device for communication during the trial period:
Describe other device/system functions that may be useful for the child:
Did child recognise symbols? How quickly? Need repetition?
Symbol size:
Child’s memory for page and /or button location?
Sequencing/syntax; phrase construction; (Can child produce ore than 1
word/selection meaningfully when using the system e.g. short phrases or 2 linked
words?)
Your comments on child’s skills and needs in using system to support her
communication:
Using categories:
Pages
Linking pages:
Understands top page/menu:
Constructing messages using links/linked pages:
Anything else relevant:
Part 2:
Describe child’s present communication abilities and strengths:
Describe child’s communication needs and goals:
Who are child’s communication partners (familiar & unfamiliar)?
What barriers prevent child from achieving his/her potential in communication and
social participation?
Outline your communication goals for child:
Outline child’s teacher/school needs in communication:
Motor and sensory:

Vision for screen and symbols

Hearing
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