AAC Communication Functions Assessment Form
Evaluate how a person uses or attempts to use AAC across common communication functions.
Respondent Name
*
Respondent Role
*
Please Select
Speech-Language Pathologist
Teacher
Parent/Guardian
Therapist
Other
Person Being Assessed (First Name or Initials)
*
AAC System Used
*
Please Select
Speech-generating device
Tablet with AAC app
Communication board/book
Sign language
Other
Primary Communication Context
*
Home
School
Community
Therapy
Other
Functional Communication Performance
*
Rows
Never
Rarely
Sometimes
Often
Always
Requesting needs/wants
1
2
3
4
5
Refusing/rejecting
6
7
8
9
10
Gaining attention
11
12
13
14
15
Responding to questions
16
17
18
19
20
Expressing feelings
21
22
23
24
25
Commenting/sharing information
26
27
28
29
30
Describe any notable strengths or challenges observed with AAC use
Submit Assessment
Should be Empty: