Assistive Technology: Checklist

ASSISTIVE TECHNOLOGY for typing
Checklist & Resource Worksheet page 3

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
	Onscreen keyboards				Switches for onscreen keyboard access
	Click-N-Type »				Grasp »
	Windows XP Onscreen »				Joystick »
	Gus! Access Keyboard »				Leaf »
	SofType »				Low Pressure »
	OnScreen »				Muscle twitch »
	WiViK2 REP »				No Contact »
	EZ Keys				Push button »
	Clicker 4				Rocker »
	Intellitalk II				Sip and Puff »
	KeyStrokes 2 »				Tilt Switch »
	REACH Interface Author 3.0 »				Wobble Switch »
	Discover: Screen
	Onscreen Virtual kbd »
					Alternate layouts
	Other keyboards				Dvorak Keyboard » » »
	AlphaSmart 3000 »				Maltron Letter Layout »
	Dana »				DataHand Ergonomic Keyboard »
	DreamWriter »				FrogPad »
	Laser PC6 with Text-to-Speech option »				Alphagrip »

Notes

» = 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.