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Run: AAC Device Trial Log

Track AAC device trials, access methods, feature matching, and patient performance in one evaluation log. Use it to document what was tested, what worked, an...

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Evaluation Context

Evaluation date (required)

Date the AAC trial or evaluation occurred.

Evaluation setting (required)

Primary reason for AAC evaluation (required)

Briefly describe the communication need or referral reason. Avoid unnecessary PII.

Consent to document trial results and share with the care team (required)

Confirm that appropriate consent or authorization has been obtained for documenting and sharing this information.

Yes No N/A

Communication Profile

Primary communication mode used today (required)

Observed access needs (required)

Motor, visual, or cognitive considerations affecting access

Include only observations relevant to device selection and access method matching.

Devices and Access Methods Trialed

Devices trialed (required)

Trial Details

Device / system name (required)

Enter the specific AAC device, app, or communication system trialed.

Access method used (required)

Feature match rating (required)

Rate how well the device features matched the user's communication needs.

Features that supported communication (required)

Barriers or limitations observed

Document any usability, access, positioning, or feature limitations observed during the trial.

Patient Performance and Outcome

Observed level of independence (required)

Communication success during trial (required)

Tasks completed successfully

Trial notes (required)

Summarize observable performance, prompting needs, and any changes in accuracy, speed, or engagement.

Recommendation and Next Steps

Recommended device or system (required)

Enter the device or system recommended for acquisition, if applicable.

Recommended access method (required)

Follow-up plan

Describe any additional trials, training, funding steps, or reassessment needed.

What happens after I submit

After submission, the trial log will be reviewed by the care team or assistive technology team and used to support the device acquisition recommendation and documentation trail.

Get your results

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Email (required)

Your name (optional)

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