Ipad Assessment Checklist

Transcript

iPad/iPod  Touch  Assessment  Checklist   Updated  March,  2013     Individual:       Date  of  Birth:         Area  of  Need:           Area  of  Need   Communication/   Emotional   Regulation/Expression   Sensory  Regulation   Social  Skills   Adaptive  Living  Skills   School/Work  Situations   Safety   Self  Care  Skills   Community  Involvement   Behavioral  Support   Recreation/Leisure/   Entertainment   Support  flexibility   Celebrations/Affirmations   Create  personal  history   Help  to  access  skills   Successful  transitions   Training  of  staff  and   others   Relationship  Building   Other  (please  note)               Current   Supports       Additional   Comments   Supports  Needed                                                                                                                                 Physical  Access  of  device:     Assessment  Questions   Can  the  individual  isolate   pointer  finger?   Can  the  individual  use   the  pad  of  finger?  (versus   fingernail)   Can  the  individual     activate  application   icons?     Can  individual     discriminate   pictures/application   icons?   Can  the  individual  hold     the  device?   If  no  to  above,  can  the     individual  tolerate  the   device  propped  on  or   near  him/her?   Can  the  individual  scroll     on  the  device?   Can  the  individual  use     the  appropriate  pressure   to  activate  the  screen?   Can  the  individual  use     the  home  button?   Can  the  individual  turn     up/down  volume?   Can  the  individual  read     and  operate  on/off   buttons?   Other  (please  note):                       Yes/No     Comments                                   Visual  Access  of  Device:     Assessment  Questions   Yes/No   Does  the  individual  orient     visually  to  device?   Does  the  individual     visually  access  the  device?   If  yes  to  above,     Intermittent?   Fixed?   Straight  on?   Peripheral?   Does  the  individual  have     better  access  if  device  is   static  or  moving?    If  yes,   which?   Does  the  individual  blink     or  demonstrate  other   visually  repetitive  or   evasive  behavior  in  the   presence  of  the  device?    If   yes,  please  note.   Is  there  an  optimal     number  in  an  array  for  the   individual?    If  yes,  how   many?       Individual/Family  Accessibility  to  Technology:     Assessment  Questions   Yes/No   Does  the     individual/family  have   internet  at  home?   Does  the     individual/family  need   support  to  set  up  the   device?   Does  the     Comments               Comments         individual/family  need   support  to  maintain  the   device?   Does  the   individual/family  have  an   iTunes  account?   Other  notes  Re:    Device  set   up  (please  list)             Applications:     Application  Introduced   Please  note  apps   introduced  and   individual’s  interest  in   them:                                         Does  individual    seem   interested?Yes/No                         Comments                         K.  McGinnity  (Revised  March,  2013)   Adapted  from:  iPad/ipod  Touch  Assessment-­‐Imagine  a  Child's  Capacity,   Hammer,  Hoeme,  Ladson  &  Schmidt  (2012)   With  input  from  Nan  Negri  and  Martha  Leary  (2012)