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Communication Modality Assessment
Answer Yes or No to the preceding questions. Use the scoring guide below to determine the
recommended communication modality
1.
2.
3.
4.
5.
6.
7.
8.
The individual points to objects
The individual babbles at least 6 times in an hour
The individual tolerates physical prompting
The individual has at least 1 word in his repertoire
The individual has demonstrated imitation skills
The individual has demonstrated receptive language skills
The individual can imitate at least 2 sounds upon request
The individual enjoys cause and effect toys (push a button to make noise/light
up)
9. The individual is able to pick up small objects with fingers
10. The individual can expressively label at least 2 items
11. The individual becomes easily frustrated
12. The individual has difficulty sitting in one spot for a given task
13. The individual tolerates others manipulating his hands
14. The individual appears unaware of other people
15. The individual can operate a DVD/VCR player
16. The individual says at least one word in a given hour
17. The individual only (or most of the time) gets items himself
18. The individual can reliably play a computer game
19. The individual uses gestures to get his needs met (example: puts arms up to be
held)
20. The individual brings items to you when he needs help
21. The individual brings items to you when he wants interaction
22. The individual rarely seeks attention (does not include attention seeking
tantrums)
23. The individual has echolalia
24. The individual can reliably navigate the web to reach a desirable website/
program
25. The individual can walk/move to get to a desired location/person
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YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
YES
YES
YES
NO
NO
NO
YES
YES
NO
NO
YES
NO
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Scoring Guide
The row with the most circles corresponds with a likely recommended communication modality
Circle the items answered YES.
2 4 7 10 16 23
1 3 5 9 13 19
1 6 9 12 20 21 25
1 8 11
3 5 6 13 15 18 24
11 14 17 22
Recommended Communication Modality
Vocal Words
Sign Language
Picture Exchange
Low Tech Augmentative Communication
High Tech Augmentative Communication
Pre-Requisite Communication Training
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