Name: _______________________ Date: ________________ HYPOTHETICAL STUDENT BRIEF INFORMATION FORM Use this form to describe your hypothetical student or students. When planning lessons using aided language stimulation and descriptive teaching, it is important to consider aided and/or unaided methods of communication that the student currently uses. For aided systems, think about what words the student already knows and what words are available for modeling. Think about how many words the student understands. Does the student understand sentences? Short phrases? Single words? What messages does the student express? How many different words? Sentences? Short phrases? Single words? Does the student communicate for many different reasons or for limited functions (e.g., only makes requests). This is an interactive form, so you can just click on the check box or boxes to indicate your answer(s), or click on the gray bars and start typing. If you would prefer, you can also print this form and write your answers in by hand. 1. 2. 3. 4. 5. 6. Student age: Unaided AAC methods used: Aided AAC methods used: Access method (for aided AAC users): Purpose of AAC tool(s) AAC as alternative to speech (primary mode of communication) AAC to augment speech (used to repair communication breakdowns or to expand rote, scripted or limited intelligible speech) Describe current aided AAC tool: high tech Tool Type mid tech low/no tech n/a Language Representation Method semantic compaction single meaning pictures alphabetbased methods Vocabulary Approximate number of words in the system: Approximate percentage of core vocabulary: Approximate percentage of fringe vocabulary: Number of words per page: 7. 8. Receptive language: Approximate number of words the student understands: Are there phrase length limits to what the student understands? For example, does the student understand 1 or 2 words well, but have difficulty with sentences? Does the student follow 1-step directions, but have difficulty with multi-step directions? Describe the student’s understanding briefly here: Expressive language: Approximate number of words the student says (using any method including speech, unaided AAC or aided AAC): Are there phrase length limits to what the student is able to say? For example, does the student say mostly single words? Does the student say mostly 1 or 2 words but can use a sentence to ask for things they really want? Does the student speak in sentences but people who don’t know them can’t understand what they are saying?