• Assistive Technology Teacher Questionnaire

    AT Solutions LLC

  • Background Information

  • Reading

  • Please rank in order your top four areas of concern for your student.
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  • Reading Skills
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  • The student independently reads at* grade level.

  • Reading (Check all areas of concern)
  • Do students use any of the following tools:

  • Writing

  • Mechanics of Writing
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  • Writing Composition
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  • Writing (Check all areas of concern)
  • Do students use any of the following tools:

  • Mathematics

  • Mathematics
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  • Mathematics (Check all areas of concern)
  • Do students use any of the following tools:

  • Study & Organization

  • Study & Organization (Check all areas of concern)
  • Do students use any of the following tools:
  • Comprehension & Listening

  • Accommodations

    Directions: Answer only relevant areas of concern, skip any N/A
  • What supports/ accommodations are already in place to help the student overcome identified challenges?
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  • Technology Access

  • The student can...
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  • Do the students have 1:1 devices?
  • 1:1 Device

  • Keyboard
       
             
                

  • Mouse
       
       
          
          
          
         

  • Typing skills (check all that apply)
  • Can they take their device home?
  • What types of devices are available in the classroom for the students to use? Check all that apply
  • In your classroom, about what % of the student's time is spent using his/her device?
  • To the best of your knowledge, about what % of the student's entire school day is spent using his/her device?
  • To the best of your knowledge, about what % of the student's entire school day is spent using his/her device?
  • Should be Empty: