Braille Skills Assessment Questionnaire Form
Please complete this questionnaire to help us evaluate your current Braille reading and writing skills. Your responses will guide further support and training recommendations.
How would you rate your overall confidence in reading Braille?
*
1
2
3
4
5
How would you rate your overall confidence in writing Braille?
*
1
2
3
4
5
Which Braille code(s) are you most comfortable using?
*
Uncontracted (Grade 1)
Contracted (Grade 2)
Nemeth (Math)
Music Braille
Other
How often do you use Braille in your daily activities?
*
Daily
Several times a week
Once a week
Rarely
Never
Rate your ability to perform the following Braille tasks:
*
Rows
Very Difficult
Difficult
Neutral
Easy
Very Easy
Reading single words
1
2
3
4
5
Reading sentences
6
7
8
9
10
Reading paragraphs
11
12
13
14
15
Writing using a slate and stylus
16
17
18
19
20
Writing using a Braille embosser
21
22
23
24
25
How quickly can you read Braille text?
*
Very slowly
Slowly
Moderately
Quickly
Very quickly
How accurately do you write Braille?
*
Very inaccurately
Inaccurately
Somewhat accurately
Accurately
Very accurately
Please indicate your agreement with the following statements about Braille:
*
Rows
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I enjoy reading Braille.
26
27
28
29
30
I feel motivated to improve my Braille skills.
31
32
33
34
35
I find Braille resources accessible.
36
37
38
39
40
What challenges do you face with Braille reading or writing?
What support or resources would help you improve your Braille skills?
Submit Assessment
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