Introduction
This self-created checklist is a free and open source way of assessing technology skills of students who are blind/low vision.
This is a lengthy and comprehensive document and it should be understood that not all questions or sections will apply to your student.
Purpose
This checklist was created to assess the skills of students whose primary disability is blindness/low vision. Though there are sections related to assistive technology that may be used with individuals who have additional disabilities, this checklist was not developed to assess those skills in isolation.
Instructions for Completion
Fill out the assessment header and record review information
Read the headings contained in the assessment and mark the ones appropriate to your student (obviously totally blind students will not need to be assessed on their use of screen magnification and those who use screen magnification will not be assessed on using screen readers, etc.)
Complete the sections marked as directed
There are several places in the assessment where a student could perform a given task using a mouse, keyboard, or both. Mark boxes with a K if student uses key commands, an M if the students uses a mouse, or a B if the student can use both
Make any notes in the margins you feel are relevant
You may wish to use parts or all of this checklist to write up a report or keep the checklist on hand as a way of measuring student progress over time.
Table of Contents
Assistive Technology Information Sheet and Checklist
Student Name:
Student DOB:
Student Grade:
Dates of Assessment:
Name of Person Conducting Assessment:
Record Review
Brief description of the student, his/her ocular condition, and accompanying pathologies (including other disabilities if applicable):
The student’s eye condition is:
Stable
Degenerative
Uncertain
Rank the reading mediums below according to student preference:
Print
Large print
Braille
Auditory
Please note any assistive technology, low vision tools, or devices that have been tried with the student in the past and whether they have been successfully utilized:
Is the student motivated by or receptive to use of technology in the classroom, community, or home environments?
Yes
No
Comments:
Handheld Devices
Student uses a calculator
If yes, mark one or more appropriate choices
Standard calculator
Large print calculator
Talking
Calculator app on a smartphone or tablet
Other (please specify):
Student owns (check all that apply):
Computer
Model and OS:
Cell Phone
Model:
Tablet
Model:
Other (please specify):
Student can (check all that apply):
Make and receive calls on a
Flip Phone
Smart Phone
Standard push button phone
When using a smartphone, the student uses (check all that apply):
No accommodations
“Pinch to zoom” to magnify the screen
The built-in screen magnifier from the accessibility settings
The built-in screen reader from the accessibility settings
Other (please specify):
Video Magnification
Check all that apply:
Student does not use video magnification, but would benefit from its use
Prefers a desktop video magnifier
Model:
Monitor size:
Does distance magnification
Prefers a portable video magnifier
Model:
Screen size:
Does distance magnification
Video Magnification is not applicable to this student
When using video magnification, the student (check all that apply)
Sits up straight with good posture
“Slumps” over the unit in an effort to see it better
Can use the settings of the video magnifier (reverse polarity, color, increase/decrease magnification, etc)
Needs reminders to use the video magnifier when it is appropriate or when an observer notes he/she is struggling to access text
Is reluctant to use the video magnifier:
In class
At home
In a resource room
In the community
Always has the video magnifier charged and ready to use
Frequently forgets to charge the unit, but enjoys using it
Has difficulty keeping track of the unit and frequently “leaves it” places
Other (please specify):
Touch Typing
The student knows how to touch type
WPM:
Accuracy:
The student is learning to touch type
What program(s) is being used to instruct the student:
A PC based program:
A self-voicing program such as Talking Typing Teacher:
Other (please specify):
Check all that apply:
Student frequently bends head to look at keys
Student only looks at keys when typing special characters such as ampersands, asterisks, or parentheses
Student using audio typing feedback with a screen reader/magnifier with speech output
Student uses good posture when typing
Student uses a keyboard with large print or braille stickers to assist him/her in learning to type.
Student is using an alternative keyboard such as Intellikeys due to fine motor issues
Other (please specify):
Use of a PC or Laptop
Basic Computer Orientation and Operation:
Student frequently utilizes a computer:
At school
At home
Both
Student does not currently use a computer
The computer the student uses at home is:
Desktop
Laptop
PC running Windows ___
Mac running OS _____
Monitor size of computer (if known):
Has a screen reader installed on it
Program name and version:
Has a screen magnification program installed on it
Program name and version:
Other programs or special notes on student use of this computer:
The computer the student uses at school is:
Desktop
Laptop
PC running Windows ___
Mac running iOX _____
Monitor size of computer (if known):
Has a screen reader installed on it
Program name and version:
Has a screen magnification program installed on it
Program name and version:
Other programs or special notes on student use of this computer:
Basic Computer Skills
Getting started - Student can:
Turn on the computer
Turn on the monitor
Adjust volume on the monitor (if applicable)
Log in to computer (if applicable)
Turn on/off any accessibility software he/she uses
Adjust system volume, mute/unmute, etc
Keyboard Orientation - Student can:
Locate alt, control, shift, tab, caps lock, and the windows key.
Orient self to the “six pack” (insert, delete, home, end, page up, page down)
Orient self to use of number pad
Locate the function keys
Basic Computer Navigation - Student can:
Access and navigate the desktop
Access and navigate the start menu
Access and navigate his/her libraries and file directory to locate specific documents
Open and close documents
Open and close programs
Navigate between open programs
Navigate between open tabs/documents within a program
Interacting with Text
The student can:
Navigate to the top of the document
Navigate to the bottom of the document
Move the cursor forward/backward by character
Move the cursor forward/backward by word
Move the cursor forward/backward by line
Move the cursor forward/backward by sentence
Move the cursor forward/backward by paragraph
Select text by letter, word, line, sentence, etc.
Screen Reader Specific Commands for Interacting with Text
Student knows the key command to:
Report cursor position
Say character phonetically
Spell current word
Read selected text
Report text characteristics (font size, color, spacing, etc)
Read continually from cursor position
Interrupt speech
Word Processing
Student uses a word processing program (check all that apply)
Pages
MS Word
Google Docs
Other (please specify):
Student can perform the following tasks:
Create new documents
Save documents
Save documents under a new name
Switch between open documents
Print documents
E-mail documents
Undo/redo changes
Cut text
Copy text
Paste text
Enlarge/shrink font
Center text or align text left/right
Increase/decrease indent level
Bold text
Underline text
Italicize text
Change font size
Change font style
Change font color
Check spelling
Uses key commands to change, ignore, and add word to dictionary
Add and modify tables
Add and modify bulleted or numbered lists
Add and/or modify columns
Modify header/footer by adding titles, page numbers, or references
Student can comment on documents, track changes by other users, etc.
Other (please specify):
Use of Electronic Mail, Calendar, Contacts, and Tasks
Name of e-mail client used (i.e. Outlook, Gmail, Yahoo, etc.):
Accessing E-mail
Student can perform the following tasks:
Open mail program
Navigate to inbox
Open messages
Close message without deleting
Delete messages
Reply to messages
Reply to all recipients of message
Forward message
Mark messages as read/unread
Flag messages
Use address book or contacts
Create folder
Move messages between folders
Delete folders
Create message rules
Sort messages according to preference (by subject, date received, sender, etc)
Use “find message” command
Calendar
Open calendar program
Create new event
Modify event
Delete event
Create recurring event
Send/accept invitations
Change calendar view (day view, 5 day week, month, etc)
Open shared calendar
Set reminders using calendar
Contacts
Student can do the following tasks:
Open contacts
Create new contact
Modify contact
Delete contact
Create new group
Add/delete members in group
Delete group
Sort contacts
Tasks
Open task
Create new task
Modify task
Delete task
Set alert/reminder for tasks
Dismiss/snooze task alerts
Use of the Internet (Screen Magnification Users)
Student can:
Open the internet browser
Name of browser used:
Navigate to a given URL
Navigate to the homepage
Navigate backward/forward a page
Navigate between open tabs
Open and adjust browser settings
Open and navigate browser history
Add/remove bookmarks on bookmarks bar
Add/remove favorites
Open and navigate bookmarks menu
Organize bookmarks
Open downloads progress
Use of the Internet (Screen Reader Users)
Opens the internet browser
Name of browser used:
Name of screen reader used:
Navigates to address bar
Navigates to a given URL
Navigates to the homepage
Navigates backward/forward a page
Navigate between open tabs
Open and adjust browser settings
Open and navigate browser history
Add/remove bookmarks on bookmarks bar
Add/remove favorites
Open and navigate bookmarks menu
Organize bookmarks
Open downloads progress
Screen reader specific commands
Navigate by page element
Navigate by link
Navigate by heading
Navigate by list
Navigate by edit field
Navigate by table
Navigate within tables
Creating and navigating by place markers
Enter/exit forms mode
Enter/exit browse mode
Using the elements lists (links list, headings list, etc.)
Other:
Use of Google Apps
Student uses
Screen Reader
Program name and version:
Browser:
Screen Magnifier
Program name and version:
Browser:
No Specific Assistive Tech
Browser
Student is able to:
Sign into Google via a Google account
Access Google Drive and navigate folders
Open folders and files
Share documents with others
Open documents shared with them
Change and update sharing settings
Access Drive/Docs menus
Adjust font size, style, alignment, etc.
Access the help menu
Other (please specify)
Visually Accessing the Screen
Student uses a large monitor (______ inches)
Student uses a monitor arm to bring the screen closer to him/her
Student uses screen magnification software (program and version used):
Student can turn on screen magnifier
Using key commands
Student can turn “off” screen reader without exiting the program
Using key commands
Student can turn on/off speech
Using key commands
Student can increase/decrease magnification
Using key commands
Student can increase/decrease speaking rate
Using key commands
Student can access tools that allow him/her to read selections of text
Using key commands
Student can enable and disable pointer enhancements,
Using key commands
Student can change pointer settings
Using key commands
Student can enable and disable cursor enhancements,
Using key commands
Student can change cursor settings
Using key commands
Student can enable and disable focus enhancements,
Using key commands
Student can change focus enhancement settings
Using key commands
Student can enable and disable color enhancements,
Using key commands
Student can change color enhancement settings
Using key commands
Other related tasks student can perform when using s screen magnification program:
Use of a Screen Reader to Access the Screen
Screen reading software (program and version):
Student can
Adjust speech settings (check all that apply):
Speaking rate
Pitch
Punctuation level
Typing feedback
Verbosity
Navigate the screen reader specific menus (i.e. Jaws Manager, Window Eyes Control Panel, etc.)
Access the screen reader specific help
Use the screen reader with the internet (see section entitled “Use of the Internet Screen Reader Users”)
Knows the difference between the different cursors, what each does, and how to “route” cursors
Access screen reader specific help, either online or from the “help” menu
Utilize a braille display with his/her screen reader (see “Using Braille Displays” section for specific questions)
Access screen reader add-ons or specific functions unique to that screen reader (please specify)
Use of a Desktop Scanner and OCR Software
Scanner and OCR program being used:
Student can:
Turn the scanner on and off as well as identify basic functions of any keys or buttons on the scanner itself
Open the scanning software
Start a new scan
Start/stop reading text
Adjust speech rate
Save a scan
Open a saved scan
Save a scan as a specific file type
Manipulate, copy, paste, etc. the scanned text
Use of Braille Translation Software and Embossers
Brand and version of software being used:
Brand and version of embosser being used:
Student can:
Open the braille translation software
Create a new print document, choose the translation code to use, and either type or copy/paste text to be translated in the document
Create a new braille document, choose the appropriate translation code, and use six key entry to add or modify text
Import a document from Word or other sources
Save a document and open a saved document
Translate from print to braille (via shortcut or menus)
Modify translation codes (contracted, uncontracted, nemeth, etc.)
Manage run over settings
Manage/add/remove page numbers
Manage/add/remove styles
Manage headers/footers
Spell check and/or find misspelling
View code list
Manage embossers including:
Add a new embosser or modify an existing one
Choose a different embosser than the default option
Modify page margins
Emboss in interpoint
Other (please specify)
Emboss a document including:
Emboss multiple copies of a document
Remove the finished document from the embosser
View the document without removing it from the embosser
Reset the embosser upon removing the embossed document
Load paper into embosser
Utilize a braille display for proofreading (see also “use of braille display”)
Other (please specify):
Use of a Braille Notetaker
NOTE: This is a general notetaker checklist. There are notetaker specific lessons and checklists available at a variety of websites, including the manufacturer of the notetaker your student is using.
Brand of notetaker used and software version:
General Orientation to Device
Student can
Turn on/off notetaker
Understand the purpose of and can perform soft reset
Understand the purpose of and can perform hard reset
Remove and replace battery
Knows where all the buttons are and the purpose of each
Utilize cursor routing keys
Student can increase/decrease speaking rate
Student can increase/decrease pitch
Student can increase/decrease speaking volume
Student can turn on/off speech or braille display
Student can access help function
Other (please specify):
Utilities and Settings
Access settings menu
Set time/date
Check battery status
Set up internet access/Wi-Fi
Set up printer
Turn Wi-Fi and Bluetooth on and off
Other (please specify):
Menu and File Navigation
Student can
Navigate to and around the device’s main menu
Navigate from SD to internal memory as well as any external drives
Can create and move folders
Can copy, cut, and paste files
Can move files from the SD to internal memory and visa-versa
Can delete files
Other (please specify):
Word Processing
Student can:
Open a new word processing document
Save and retrieve documents from within the word processor
Navigate by letter, word, sentence, line, and paragraph
Insert or delete text
Select, cut, copy, and paste text
Access the word processing menus
Print or emboss a document
Spell check
Change the font size, style, and other font attributes
Other (please specify):
Electronic Mail
Student can:
Add an email account
Navigate to inbox
Open and read messages
Reply to and forward messages
Delete messages
Create a new message, add a recipient, and add a subject
Create folders, navigate between folders, and move messages to folders.
Mark and flag messages
Use “find” command to locate a specific message
Other (please specify):
Calendar
Student can:
Open calendar program
Create new event
Modify event
Delete event
Create recurring event
Change calendar view (day view, 5 day week, month, etc)
Set reminders using calendar
Other (please specify):
Contacts
Student can:
Open contacts
Create new contact
Modify contact
Delete contact
Create new group
Add/delete members in group
Delete group
Other (please specify):
Internet
Student can:
Open a browser
Navigate to a specific site
Navigate a webpage using notetaker specific commands
Copy/paste a page link
Create and access bookmarks
Delete and organize bookmarks
View browsing history
Other (please specify):
Books and Libraries
Bookshare
Student can:
Add a Bookshare account to the device
Search Bookshare for a desired text
Download and retrieve a Bookshare file
Extract a bookshare file and move the extracted file if desired
Navigate a Bookshare book by chapter, page, etc.
Search within the Bookshare book for specific text
Other (please specify):
National Library Service (NLS)
Student can:
Add an NLS BARD account to the device
Search BARD for a desired text
Download, retrieve, and extract a BARD file
Navigate an NLS book by chapter, page, etc.
Other (please specify):
Media
Student can:
Open the media player
Locate and play/pause media
Load media onto device for playback
Navigate forward/backward a track
Create, modify, and delete playlists
Make recordings, play them back, and delete them
Other (please specify other tasks student can perform on the unit):
Use of a Tablet or Smartphone
Brand of tablet/phone used and software version:
General Orientation to Device
Student can turn on/off device
Student understands the purpose of and can perform reset of device
Student knows where all the external buttons are and the purpose of each
Use of Screen Magnification
Student can:
Turn on/off screen magnification
Increase/decrease magnification level using gestures
Increase/decrease magnification level using a menu
Use appropriate gestures to navigate the enlarged screen
Change or install keyboards that make onscreen typing easier
Ensure that screen magnification does not affect keyboard when typing
Change color filters, reverse contrast, and enlarge system text
Utilize “pinch to zoom” features and recognize when this strategy will not work
Other (please specify)
Use of Speech to Access Screen
Student can:
Turn on/off screen reader
Increase/decrease speaking rate
Increase/decrease pitch
Increase/decrease speaking volume
Use single finger swiping gestures
Use single finger tapping gestures
Use double finger swiping gestures
Use double finger tapping gestures
Use triple finger swiping gestures
Use triple finger tapping gestures
Use quadruple finger swiping gestures
Use quadruple finger tapping gestures
Turn on/off speech (if using braille)
Engage screen curtain (if applicable)
Access help function
Use screen reader specific navigation (rotor)
Other (please specify):
Utilities and Settings
Student can:
Access settings menu
Turn Wi-Fi on/off
Turn Bluetooth on/off
Add a Bluetooth connection (speaker, headphones, etc)
Check battery status
Connect to a wireless connection
Connect to a wireless printer
Other (please specify):
Screen Reader Specific Settings
Student can:
Open screen reader utility
Adjust speech rate and pitch
Choose the voice synthesizer her/she wants
Set up language preferences
Adjust verbosity and screen reader feedback
Adjust typing feedback
Choose which navigation options appear in the rotor
Access pronunciation dictionary
Other (please specify):
Home Screen Navigation and Personalization
Student can:
Navigate to and around the device’s home screen
Arrange apps, moves apps to the dock area, and remove them
Create and move folders
Delete apps
Other (please specify):
Word Processing
Student can:
Open a new word processing document
Save and retrieve documents from within the word processor
Navigate by letter, word, sentence, line, and paragraph
Insert or delete text
Select, cut, copy, and paste text
Access the word processing menus
Print or emboss a document
Spell check
Change the font size, style, and other font attributes
Other (please specify):
Electronic Mail
Student can:
Add an email account
Navigate to inbox
Navigate to different inboxes if more than one account is on the device
Open and read messages
Reply to and forward messages
Delete messages
Create a new message, add a recipient, and add a subject
Create and navigate between folders
Move messages to folders.
Mark and flag messages
Use “find” command to locate a specific message
Other (please specify):
Calendar
Student can:
Open calendar app
Create new event
Modify event
Delete event
Create recurring event
Other (please specify):
Reminders
Student can:
Open reminder app
Create new reminder
Mark reminder as “complete”
Modify reminder
Delete reminder
Create recurring reminder
Sets reminders to occur at a specific time or location
Other (please specify):
Contacts
Student can:
Open contacts app
Create new contact
Modify contact
Delete contact
Change contact text alert, ringtone, etc
Other (please specify):
Internet
Student can:
Open an app to browse the internet
Navigate to address bar
Navigate to a given URL
Navigate to the homepage
Navigate backward/forward a page
Navigate between open tabs
Close open tabs without closing the browser app
Open and navigate browser history
Add/remove bookmarks
Organize bookmarks
Screen reader specific commands
Access rotor
Navigate by page element
Navigate by link
Navigate by heading
Navigate by list
Navigate by edit field
Navigate by table
Navigate within tables
Other (please specify):
Music and Media
Student can:
Open a music or media app such as Podcasts, Pandora, Spotify, or the native music app specific to the device
If applicable, subscribe/unsubscribe to music services, podcasts, adjust subscription preferences, and define the benefits of doing so.
Play/pause media
Navigate forward/backward a track
Search for specific stations, music types, or artists
Other (please specify):
Voice Notes and Memos
Student can:
Locate and open the voice recorder or memo app of choice
Start/stop recording
Play back recording
Save and retrieve recordings
Trim and modify recordings
Delete recordings
Share, upload, or export recording to other sources and individuals
App Purchasing
Student is able to:
Memorize his/her ID and password
Open the App/Play Store
Browse the store’s featured apps
Search the store for a given app
Find the download button for
Locate the app description and decide whether it is an app he/she wishes to download
Enter a password to download an app
Locate and open the app once it is downloaded
Use various sources to research apps to determine accessibility
Book and Reading Apps
Student uses an app to access and read audio books
NLS BARD
Audible
Learning Ally
Other - Name and version:
Student uses an app to access text versions of books or newspapers
Read2Go
GoRead
VoiceDream Reader
iBooks
NFB Newsline
Other - Name and version:
Specific Library Services
Bookshare
Student can:
Add a Bookshare account to his/her app of choice
Search Bookshare for a desired text
Download, retrieve, and read a Bookshare file
Navigate a Bookshare book by chapter, page, etc.
Search within the Bookshare book for specific text
NLS and BARD
Student can:
-
Add an NLS BARD account to the app
-
Search BARD for a desired text
-
Use the app to find recently added titles, popular titles, and tittles by genre
-
Add/remove books from the wish list
-
Download, retrieve, and read a BARD book
-
Navigate an NLS book by section, chapter, and other specified navigation options
-
Adjust the reading rate to suit his/her needs
-
Adjust font, contrast, and other visual display options for the app
-
Adjust tone, turn on/off background playback, turn on/off auto lock during playback, and adjust other settings as needed.
Apps Designed for the Blind and Low Vision
Student uses the following apps and services:
Blindfold Games - Student is able to:
Access blindfold games
Understand the concept of buying coins
Color ID - Student is able to:
Open app
Line item up with camera
KNFB Reader - Student is able to:
Take picture of document
Navigate extracted text
Adjust voice speed
Save file to device
Export file to other apps
Open file with KNFB Reader from other apps
Other (please specify):
Money Reader - Student is able to:
Open app
Line bills up with camera
NFB Newsline - Student is able to:
Add account to the app
Use app to find magazines/papers of interest
Add/remove publications to favorites
Navigate within publications
Access weather information
Access TV listings
Tap-Tap-See - Student is able to:
Open app
Line up item to take picture
Take photo and recognizes when a retake is needed
Other Apps (please specify)
Use of a Braille Display and/or Bluetooth Keyboard
Brand and version of device being used:
Student uses the display with (check all that apply)
Windows PC
Mac OS
iPad/iPod/iPhone
Android Device
Other (please specify):
Interacting With Text
Student can:
Navigate to the top of the document
Navigate to the bottom of the document
Move the cursor forward/backward by character
Move the cursor forward/backward by word
Move the cursor forward/backward by line
Move the cursor forward/backward by sentence
Move the cursor forward/backward by paragraph
Select text by letter, word, line, sentence, etc.
Using Device with a Tablet
Student can:
Connect the device via Bluetooth
Navigate to home screen
Navigate forward/backward between screens, pages, or tabs in a browser or other app
Share or send items via email, Dropbox, Google Drive, or other means
Adjust volume using keyboard shortcuts
Adjust speech settings using keyboard shortcuts
Change braille input/output settings (i.e. contracted to uncontracted or UEB to EBAE)
Print/emboss documents
Other: (please specify)
Using a Braille Display with a Computer
Student can:
Connect the device via Bluetooth or USB
Adjust screen reader settings as follows:
Access braille display settings, including setting screen reader to recognize the display
Turn speech off
Change braille input/output settings (i.e. contracted to uncontracted or UEB to EBAE)
Navigate the screen reader menus, tables, and dialogue boxes
Other (please specify):
Access and navigate Start Menu
Navigate to the Desktop as well as between icons
Open and navigate between programs
Create, open, and save files
Access and use word processing programs (see also “Word Processing” under “Use of PC or Laptop”)
Access and use email (see also “Electronic Mail” under the heading “Use of PC or Laptop”)
Adjust volume using keyboard shortcuts
Adjust speech settings using keyboard shortcuts
Change braille input/output settings (i.e. contracted to uncontracted or UEB to EBAE)
Print/emboss documents
Other: (please specify)
Use of GPS Devices (Stand-Alone or Apps)
NOTE: If you are a TVI with no other certification, you may wish to consult with an orientation and mobility specialist when conducting this portion of the assessment
GPS Device, App, or Program being used as well as model and/or version number:
Stand-Alone GPS Device
Student can:
Turn device on/off
Use device to determine current location (intersection, street address, etc)
Use device to determine what is around him/her
Create, delete, manage landmarks
Use device to search for a specific location, save that location, or open a saved location
Use device to plan a route to a location and review the route before executing it
Use device to navigate to a location
Connect device to a PC to update and load maps
Other (please specify):
GPS on Braille Notetaker
Student can:
Open the GPS app within the notetaker
Determine which app he/she will use with the GPS (i.e. Sendero GPS, Google Maps, etc.)
Use device to determine what is around him/her
Create, delete, manage landmarks and locations
Use device to search for a specific location, save that location, or open a saved location
Use device to plan a route to a location and review the route before executing it
Use device to navigate to a location
Connect device to a PC to update and load maps (if applicable)
Other (please specify):
GPS App
Name and version number of app being used:
Student can:
Open the GPS app within the device
Manage speech output options of the app
Use device to determine what is around him/her
Perform a basic search for a type of business or location within the app
Create, delete, manage landmarks and locations
Use device to search for a specific location or address, save that location, or open a saved location
Use device to plan a route to a location and review the route before executing it
Use device to navigate to a location
Choose which maps application to use to navigate to the location (if using Blindsquare or a similar app).
Other (please specify):
Book Readers and Library Subscriptions
Student has access to (check all that apply):
Amazon Books
Audible
Bookshare
iBooks (via iTunes)
Learning Ally
National Library Service
NFB Newsline
Other (please specify):
Student has his/her own account for:
Amazon Books
Audible
Bookshare
iBooks (via iTunes)
Learning Ally
National Library Service
NFB Newsline
Other (please specify):
To read electronic/audio books, the student uses (check all that apply):
iPad/iPod/iPhone
Braille Notetaker (please specify brand)
PC/Mac (please specify model, OS, and browser/software used)
Android Device
Book Port
Victor Reader
Book Sense
NLS Digital Player
Other (please specify):
Student can (check all that apply):
Download his/her own books on a PC/Mac
Download his/her own books on a braille notetaker
Download his/her own books on a tablet
Download her/her own books on an iDevice
Download his/her own books from a standalone player using wifi
Use of a Stand-Alone Book Player
Model and version of player being used:
If the student uses a stand-alone book player, he or she can (check all that apply):
Turn the player on/off
Charge the player
Play and switch between audio books
Navigate audio books by chapter, page, etc
Record and play back audio memos
Adjust pitch, tone, volume, and other similar settings
Check battery status
Insert and remove cartridge, USB, and/or SD card
Access and change player settings
Load music onto the player from a PC/Mac
Load audio books onto the player from a PC/Mac
Download audio books directly onto the player via wifi
Listen to internet radio via wif
Other (please specify)
Use of Other Adaptive Devices or Programs
Student uses the following devices to access mainstream or assistive technology (check all that apply):
Please list specific devices used by student, including the name, manufacturer, and version number:
Use of switches - Check all that apply:
Bluetooth (used with a tablet or iDevice)
Standard (used to activate other electronics or with a PC)
For cause and effect apps on a tablet or iDevice (Bluetooth)
For cause and effect PC activities
For “switch scanning” with an iDevice or tablet
To turn on/off electronic toys
As communication tools
Start/stop music or audio playback on tablet or iDevice
As alternative access to an iPad or tablet for those who cannot use fine motor skills to “swipe” (i.e. the VoiceOver Controller)
Other (please specify)
Augmentative communication - Check all that apply:
Student uses a specific app for augmentative communication
Name/version of app:
Student uses an augmentative communication board
Name of device and company that manufactures it:
Other means of augmentative communication (please specify):
Sensory apps - Student uses and accesses sensory apps (Check all that apply):
Student uses apps for visual and auditory stimulation
Uses switch control
Touches screen
Prefers large colorful patterns
Prefers muted patterns with lots of sound
App or switch is set on a specific “cut off time” such as 10, 15, or 30 seconds so student must continually engage
Student visually attends to visual stimulation
Other (please specify):
Student has a preference for the following apps:
Big Bang Patterns
Big Bang Pictures
Sensory Lightbox
Fireworks apps
Music apps
Others (please specify)