Assistive Technology: Checklist

ASSISTIVE TECHNOLOGY for typing
Checklist & Resource Worksheet page 1

An online form (Fill out online and print.)
page [1] [2] [3] [info]

Name:
Date of report:

Person/s filling out this form:

Key: (enter Y, N, ? or T in key to indicate systems assessed.) PRINT before exiting page, information not saved.

Y=Yes	N=No	?=possible	T=To be Tried
Appropriate/ functional Recommended, most likely a good choice	Not appropriate / poor choice	May work for user, with additional training, modification or intervention. Continue trial or make modifications.	Requires assessment or trial.

AT system / method	Key	Date start	Date end		AT system / method	Key	Date start	Date end
Keyboards -regular/ergonomic					System Software
Regular keyboard					Sticky keys »
Split Ergonomic Keyboard »					Filter keys »
Ergonomic Contoured »					Toggle keys »
Kinesis Maxim Adjustable »					Sound notification »
Comfort Ergonomic » »					800x600 resolution or lower »
Large print kbd »					Windows large scheme »
SmartBoard »					Windows extra large scheme »
TouchStream »					Windows high contrast settings »
					Internet Explorer text size / Netscape zoom »
Large/Expanded Keyboards
Intellikeys
_# locations					Other hardware / ergonomic systems
_size of locations					Height adjustable chair
King Keyboard »					Height adjustable table
Big Keys »					Lumbar support
					Adjustable monitor mount
Small Keyboards					Arm support / arm rests
Mini keyboard » » »					Wrist / palm rest
Small Keys Cherry kbd »					Angle / height Adjustable Keyboard Mount or Tray
iGesture Mini Keyboard »					Keyguard »
Tash Mini »					Keycaps
Little Fingers Keyboard »					Wheelchair tray
Magic Wand »
Maltron Single finger / stick »
				Notes...
One handed Keyboards
Half-QWERTY Keyboard »
BAT Keyboard »
FrogPad » »

» = click on "» " for resource information about specific product.
Print out this form once you have entered information. Storage and retrieval of information in these forms is not currently functional. We will provide the option of storing user information (secure server) for quick access by user and managers / administrators / teachers, based on user demand. Send us an e-mail if you would like to use this form to store ongoing information for assistive technology assessment.