AAC Communication Log
Use this form to record and track augmentative and alternative communication (AAC) events, including details about the communicator, device used, context, message, and outcomes.
Date and Time of Communication Event
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Communicator's Name or Initials
*
Role of Communicator
*
Student
Client
Resident
Other
AAC Method or Device Used
*
Speech-Generating Device (SGD)
Communication Board/Book
Tablet/Tablet App
Picture Exchange (PECS)
Sign Language
Gestures
Other
Context or Activity
*
Please Select
Classroom
Therapy Session
Mealtime
Community Outing
Recreational Activity
Home
Other
Communication Goal or Purpose
*
Request
Comment
Ask a Question
Answer a Question
Social Greeting
Refuse/Reject
Other
Message or Content Communicated
*
Communication Partner
*
Peer
Teacher
Therapist
Family Member
Support Staff
Other
Partner Response
*
Understood and Responded Appropriately
Needed Clarification
Did Not Understand
No Response
Outcome of Communication
*
Successful
Partially Successful
Unsuccessful
Support or Strategies Used
Verbal Prompt
Physical Prompt
Visual Cue
Modeling
Wait Time
Other
Effectiveness of Communication
1
2
3
4
5
Follow-up Actions Needed
Repeat Attempt
Modify AAC Method
Provide Additional Support
Consult Team
No Follow-up Needed
Other
Additional Notes or Observations
Submit Log Entry
Should be Empty: