Communication Snapshot

Create a Communication Snapshot
Your Name*
Your email address*
Consider Communication

Complete the following items about the person with complex communication needs. You will get an email at the address you provide. This email will have a Communication Snapshot of the person.
What are the person's first and last initials?*
Write a sentence or two to describe the person's home (lives with, setting)*
Write a sentence or two to describe the person's typical day (work, community)*
If you anticipate any upcoming life changes or transitions, please describe.
If no life changes, please leave blank.
How does this person usually tell you something? (choose all that apply)*

big body movementsgestures and personal signsformal sign language (ASL)facial expressionssounds / tone of voicesimple wordspictures or symbolsspoken languagecomputer or tablethumorOther
This person enjoys spending time... (hobbies, etc.)*
finish the sentence
You know what this person enjoys because...*
finish the sentence
Think about this person's ability to imitate.

has extreme difficulty repeating actions, sounds/words of othershas some difficulty repeating actions,sounds/words of others - needs to be encouragedcan imitate sometimes but other times seems to be "stuck"can imitate actions or movements but not sounds/wordseasily repeats and enjoys repeating actions of othersOther
Who would this person call a "best friend"?*
I know they are friends because...*
finish the sentence
This person dislikes...*
finish the sentence
I know what this person dislikes because ...*
finish the sentence
Write a sentence about how you get this person to do things they don't want to do.
What kind of messages does this person respond to? (choose all that apply)*

steps in a repeated routine (getting dressed, leaving the house, etc.) when in that situationbig body movementsgestures and personal signsformal sign language (ASL)facial expressionssounds and tone of voicepictures or symbolssimple wordsspoken languagecomputer or tablethumorOther
Compare this person's abilities regarding understanding and expressing

understanding is much better than expressingunderstanding is a little bit better than expressingabout the sameexpressing seems better than understanding
How frustrated is this person on a daily basis?*

neverrarelysometimesoftenalways
This person gets frustrated when...*
finish the sentence
Regarding connection with others, this person is*

always isolated and withdrawncan be encouraged to join a shared activityneeds an equal amount of "alone time" and "time with others"enjoys the company of other peopleseeks out other people as much as possible
What keeps this person from being more connected and engaged?*
Should be Empty:

Create a Communication Snapshot

Consider Communication