AAC Device Usage Log Form
Log and monitor the use of Augmentative and Alternative Communication (AAC) devices.
Date of Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Session
*
Hour Minutes
AM
PM
AM/PM Option
User Initials or ID Code
*
AAC Device Used
*
Please Select
Speech Generating Device
Tablet with AAC App
Communication Board
Eye Gaze Device
Other
Session Duration (minutes)
*
Setting
*
Please Select
Home
School
Clinic
Community
Other
Primary Communication Goal
*
Please Select
Requesting
Commenting
Social Interaction
Answering Questions
Other
Device Status at Start
*
Please Select
Fully Functional
Partially Functional
Not Working
Challenges Encountered
Technical Issues
User Fatigue
Limited Vocabulary
Environmental Distraction
None
Other
Additional Notes
Submit Log
Should be Empty: