Advocare Feedback Form
Designing a communication board and a Social Story for advocates to use with residents is an impactful project!
To better understand communication challenges, we would like to ask a variety of questions that cover different aspects of experiences and needs.
This information will guide us in selecting the most appropriate communication symbols for the board and may also provide insights on content to include in the Social Story.
For example, speaking, writing, gestures
For example:
Do you have any preferred languages or dialect?
Do you have any difficulties with hearing or vision that affects communication?
Do you use a communication aid/device? For example; hearing aid
Do you have any challenges/limitations that make it hard to speak or write? For example; stroke, Parkinsons
How do you feel when communicating with others? For example; frustrated, anxious, nervous
Is there are a place where you find it easier to communicate?
Are there any cultural considerations we should be aware of when communicating? For example; eye contact, personal space, gender roles
Are there any specific people who assist you with communication? For example, family members, caregivers.
For example, 10 - 14 symbols
No more than 20 symbols
For example A4