RASP logo

About RASP
Library
Visual Supports
MESA Project
Best Practices
LRE Preschool Programs
Other Links
Feedback
Home

The University of Iowa
Regional Autism Services Program
Child Health Specialty Clinic

Feedback Form

EXPERIENCE STORY KIT FEEDBACK FORM

Parent Name:

Name of Child:
  1. This best describes how my child independently attends/reads our photo experience books we made:

    Very little interest
    Some interest
    Can "read" one book by self
    Can "read" both books by self

  2. This "reading" activity lasts about this long (child "reading" alone): .

    If I read the materials to my child, we can stay engaged how long: .

    How does this compare to reading traditional books with my child:

  3. For the topic of our two photo experience books, I chose:

    New language words
    New behavioral routine

  4. The title and content for the books are:

    Title 1: 

    Content stresses the following:


    I choose this because:


    Title 2: 

    Content stresses the following:


    I choose this because:

  5. After we completed making the book, my child has reviewed the story approximately how many times? Does he/she review by themselves or with you?

  6. What changes has this kind of activity produced, if any.

    A) learned a new skill (name of the skill )
    B) learned new words, either by showing understanding or verbalizing (new word(s):
    C) learned a new way to behave in the following routine:

  7. How does your child use the books that were made:

  8. Have you shared this kind of activity with anyone else supporting your child?

  9. Have your interactions increased with your child in any way, as a result of this kind of activity?

  10. If you chose to share this with your child’s teacher, how would you structure that sharing and what would you tell them about your child’s learning, independence, and interests?

  11. Have you made more experience type activities yourself? If not yet, would you? And why?

  12. You may have agreed to present the outcome of this activity at a conference. Tell us when you are available and willing to bring the books, make a video (of your child reading), or tell about the outcome at the following conferences. Sue Baker will contact you in advance to prepare remarks and confirm your participation.

    April 28 at Autism Society of Iowa Conference in Des Moines
    At a conference in my area: provide name if possible .
    I release my name as a potential speaker to interested staff development professionals in my AEA.
    My talk could last minutes.

    Thanks again for helping with this activity.

 

 

About RASP | Library | Visual Supports | MESA Project
Best Practices | Other Links | Feedback | Home