Nonverbal Communication Needs Assessment Questionnaire
Please share your preferences and needs regarding nonverbal communication to help us better understand your communication style.
What is your preferred method of nonverbal communication?
*
Gestures
Facial expressions
Written notes
Pictures or symbols
Digital communication devices
Other
In which settings do you most often need support for nonverbal communication?
*
At home
At work or school
In public places
During medical appointments
Social gatherings
Other
How comfortable are you with using gestures to communicate?
*
Not comfortable
1
2
3
4
Very comfortable
5
1 is Not comfortable, 5 is Very comfortable
How comfortable are you with using facial expressions to communicate?
*
Not comfortable
1
2
3
4
Very comfortable
5
1 is Not comfortable, 5 is Very comfortable
How comfortable are you with using communication devices or apps?
*
Not comfortable
1
2
3
4
Very comfortable
5
1 is Not comfortable, 5 is Very comfortable
Which nonverbal communication aids do you currently use?
Picture cards
Communication boards
Speech-generating devices
Mobile apps
None
Other
Are there any barriers you face when using nonverbal communication methods?
Lack of access to aids/devices
Difficulty being understood
Limited support from others
Physical limitations
No barriers
Other
Please describe any specific preferences or needs for nonverbal communication support.
Submit
Should be Empty: