Before Expand Survey Test Harness | Two Way Street Online

Welcome to your The Expand Program – Before the Program

Please enter your child/person’s current age (in years and months):

Please enter your child/person’s diagnosis (if applicable):

Please enter your relationship to the child/person (e.g. mother, father, older sister, support worker, teacher, teaching assistant, speech pathologist, etc.):

Please select any settings that your child/person regularly attends (at least once a week):

Child care

Family day care

Preschool / kindergarten

School

Day program

Work

Respite

Cared for by relative (e.g. grandparent)

Other (please specify in comments below)

Questions about your child/person’s communication

How long has your child/person being using their current communication system?

0 – 6 months

6 – 12 months

12 – 18 months

18 months – 2 years

More than 2 years

I don’t know

Your new question!

What is the most common way your child/person names or labels things? (give your best answer):

Uses clear speech or spelling (e.g. writes, types or finger spells a word) (e.g. uses a word to name the item – e.g. Car, dog, bubbles)

Uses symbols on communication system or words (e.g labels the item with a symbol e.g. car, dog, bubbles)

Uses gestures that would be understood by unfamiliar people (e.g. gives the action of the item, or makes a sound like “meow for cat, vroom for car’ )

Uses facial expression, body language or voice sounds that are directed at the partner but need interpretation by someone familiar (e.g makes a voice sound, stiffens their body, looks at you intently)

Uses facial expression, body language or voice sounds but these are not necessarily directed at the partner and need interpretation (makes a sound or body action in relation to the item or event, but doesn’t engage the other person. The partner has to be able to observe and interpret it.)

Doesn’t do this yet (I haven’t seen them do this yet)

I don’t know

Your new question!

In which situations do you usually find time to chat with your child/person using their AAC system? Please select the top 3.

For Other situations please detail in this questions comments.

Dinner table/mealtimes

Bedtime

On the couch

During play activities

During outside activities

At preschool/school

At a friend or relative’s house

When I’m with other AAC users

Out in the community (list locations most common in the comments box below)

During therapy sessions

What sorts of things do you talk about with the child/person when modelling with their system? Please select the top 3.

Other topics – if so, please specify (Please also use this comment box to list any topics or activities to expand on questions above, if selected)

Talking about what we are doing – i.e. daily living activities,

Asking for things, activities or people

Naming the activity we are doing

Using words to talk within specific activities (e.g. using a play dough page or mealtime page during that activity)

What we see on TV

Topics my child/person chooses to talk about

Topics that I choose to talk about

Events / activities that have happened during the day

Events / activities that are coming up

Topics my child is learning about at preschool/school

What is in the news

Topics that other people are talking about – to my child/person

Topics that other people are talking about – not necessarily about or including my child/person

My child/person’s special interests – please list topics

How motivated is your child to learn the topics covered in class?

Not at all motivated

Slightly motivated

Somewhat motivated

Quite motivated

Extremely motivated

Your new question!

Please rate the following statement: I enjoy using my child/person’s device to interact with him/her

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

Please rate the following statement: My child/person always has their device with him/her

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

Group Name(only applicable if you are completing EXPAND as part of a group training)