Assessing Student's Needs for Assistive Technology (ASNAT)

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Assistive Technology Assessment Forms 1. Mobility (Check all that apply.) Crawls, rolls, or creeps independently Is pushed in manual wheelchair Uses wheelchair for long distances only Uses manual wheelchair independently Is learning to use power wheelchair Uses power wheelchair Needs help to transfer in and out of wheelchair Transfers independently Has difficulty walking Walks with assistance Has difficulty walking up stairs Has difficulty walking down stairs Needs extra time to reach destination Walks independently Walks with appliance Uses elevator key independently WATI Student Information Guide SECTION 10 Mobility 2. Concerns About Mobility (Check all that apply.) Student seems extremely tired after walking, requires a long time to recover Student seems to be having more difficulty than in the past Student complains about pain or discomfort Changes in schedule require more time for travel Changes in class location or building are making it more challenging to get around Transition to new school will require consideration of mobility needs Other Summary of Student’s Abilities and Concerns Related to Mobility Assessing Students’ Needs for Assistive Technology (2004) A-21
Assistive Technology Assessment Forms WATI Student Information Guide Section 11 Vision A vision specialist should be consulted to complete this section. 1. Date of Last Vision Report ____________________ Report indicates (please address any field loss, vision condition, etc.) 2. Visual Abilities (Check all that apply.) Read standard textbook print Read text if enlarged to (indicate size in inches) Requires specialized lighting such as Requires materials tilted at a certain angle (indicate angle) Can read using optical aids, list: Currently uses the following screen enlargement device Currently uses the following screen enlargement software Recognizes letters enlarged to ______ pt. type on computer screen Recognizes letters enlarged to ______ pt. type for _______minutes without eye fatigue. Prefers Black letters on white White on black ________________(color) on ____________ Tilts head when reading Uses only one eye: Right eye Left eye Uses screen reader: Requires recorded material, text to speech, or Braille materials 3 Alternative Output Currently uses (Check all that apply.) Slate and stylus Talking calculator Braille calculator Braille notetaker Electric Brailler Refreshable Braille display Tactile images Screen reader Braille translation software: Assessing Students’ Needs for Assistive Technology (2004) A-22
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Assessing Students’ Needs for Ass
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Table of Contents Chapter One Assis
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Table of Contents Chapter 8 Assisti
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Chapter 1 - Assistive Technology As
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Notes: Chapter 1 - Assistive Techno
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Chapter 2 - Computer Access A CONTI
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Chapter 2 - Computer Access • Wor
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Chapter 2 - Computer Access • Mou
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Chapter 2 - Computer Access ♦ The
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Chapter 2 - Computer Access Freewar
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Chapter 2 - Computer Access Notes:
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Chapter 3 - Assistive Technology fo
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Chapter 9 - Documenting Assistive T
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Chapter 10 - Funding Assistive Tech
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Page 272 and 273: Assistive Technology Vendor Table C
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Page 292 and 293: Appendix Additional Vendors: Assess
Page 294 and 295: WATI Product Catalog WATI PRODUCT C
Page 296 and 297: WATI Product Catalog Assistive Tech
Page 298 and 299: WATI Product Catalog School Profile
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Assessing Student's Needs for Assistive Technology (ASNAT)

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