1 2 3 4 5 Non verbal Own Agenda Requester Early Partner stage stage stage Communicator stage (communicates (seems to (reach or take own interests and want to play to you to what (starts to share experiences, uses alone, is needed, interests with past/present/future communication understand you, even by tense) largely steps in familiar just looking back you routines, (may at you- joint know mainly include sounds/ attention) through body some eye movements & contact/ body gestures) movements/few words to calm, echolalia) Verbal Please circle one number below capabilities of your child 1 2 3 4 5 Sounds and Single words Developing Conversation gestures and phrases sentences. Full sentences (may react to (may include Narrow interests how they are early sounds feeling/ what is e.g. crying, happening cooing, around them babbling) through facial expressions, eye movements, body movements) Additional details (optional): 2. Care/ Please indicate (tick the box) where your child is currently placed. Educational Setting A Day-care B Pre-school
1 Non verbal 2 Own Agenda stage (seems to want to play alone, communication largely you know mainly through body movements & gestures) 3 Requester stage (reach or take to you to what is needed, understand steps in familiar routines, (may include sounds/ some eye contact/ body movements/few words to calm, echolalia) 4 Early Communicator stage (starts to share interests with you, even by just looking back at you- joint attention) 5 Partner stage (communicates own interests and experiences, uses past/present/future tense) Verbal capabilities of your child Please circle one number below 1 (may react to how they are feeling/ what is happening around them through facial expressions, eye movements, body movements) 2 Sounds and gestures (may include early sounds e.g. crying, cooing, babbling) 3 Single words and phrases 4 Developing sentences. Narrow interests 5 Conversation Full sentences Additional details (optional): 2. Care/ Educational Setting Please indicate (tick the box) where your child is currently placed. A Day-care B Pre-school
acn_ipad_application_2016.docx