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Assessing Student's Needs for Assistive Technology (ASNAT)

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<strong>Assistive</strong> <strong>Technology</strong> Assessment Forms<br />

WATI Student In<strong>for</strong>mation Guide<br />

SECTION 4<br />

Communication<br />

1. Student’s Present Means of Communication<br />

(Check all that are used. Circle the primary method the student uses.)<br />

Changes in breathing patterns Body position changes Eye-gaze/eye movement<br />

Facial expressions Gestures Pointing<br />

Sign language approximations<br />

Vocalizations, list examples<br />

Sign language (Type____________________ # signs_______<br />

# combinations _______ # signs in a combination _______)<br />

Vowels, vowel combinations, list examples<br />

Single words, list examples & approx. #<br />

Reliable no Reliable yes<br />

2-word utterances 3-word utterances<br />

Semi intelligible speech, estimate % intelligible:____________<br />

Communication board Tangibles Pictures Combination pictures/words Words<br />

Voice output AC device (name of device)<br />

Intelligible speech Writing Other<br />

2. Those Who Understand Student’s Communication Attempts (Check best descriptor.)<br />

Most of the time Part of the time Rarely Not Applicable<br />

Strangers <br />

Teachers/therapists <br />

Peers <br />

Siblings <br />

Parent/Guardian <br />

3. Current Level of Receptive Language<br />

Age approximation _______<br />

If <strong>for</strong>mal tests used, name and scores<br />

If <strong>for</strong>mal testing is not used, please give an approximate age or developmental level of functioning. Explain your<br />

rationale <strong>for</strong> this estimate.<br />

4. Current Level of Expressive Language<br />

Age approximation: _______<br />

If <strong>for</strong>mal tests used, name and scores<br />

If <strong>for</strong>mal testing is not used, please give an approximate age or developmental level of functioning. Explain your<br />

rationale <strong>for</strong> this estimate.<br />

<strong>Assessing</strong> Students’ <strong>Needs</strong> <strong>for</strong> <strong>Assistive</strong> <strong>Technology</strong> (2004) A-12

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