,,FVLMA ,FUNC;NAL ,VI.N & ,LE>N+ ,M$IA ,ASSESS;T = ,/UD5TS ,:O >E ,PRE-,ACADEMIC OR ,ACADEMIC & ,VISU,Y ,IMPAIR$ 9 ,GRADES ;,K-#AB ,,PRACTI;N]'S ,,GUIDEBOOK ,0,LA,RHEA ,SAN=D1 ,$4,D4 & ,REBE3A ,BURNETT1 ,$4,D4 ,PROJECT ,3SULTANTS2 ,ELA9E ,KIT*EL1 ,M4,$4 ,PROJECT ,L1D] ^C #BJJG BY ,,AM]ICAN ,,PR9T+ ,,H\SE ,,= ,,! ,,BL1 ,,9C4 ,L\ISVILLE1 ,K5TUCKY #DJBJF-JJHE ,FUR!R REPRODUC;N OR 4TRIBU;N 9 O!R ?AN A SPECIALIZ$ =MAT IS PROHIBIT$4 ,EMBOSS$ 9 #B ,VOLUMES ,VOLUME #A ,BRL PAGES P#A-P#F & #A-AEG ,PR9T PAGES #A-A#HF P#A ,,SPECIAL ,,SYMBOLS ,,US$ ,,9 ,,? ,,VOLUME ,MA!MATICAL ,SYMBOLS @4 ,DOLL> SIGN .K ,EQUAL SIGN @3P ,P]C5T @+ ,PLUS SIGN @* ,MULTIPLIC,N SIGN _/ ,SLA% M>K ,-PUT] ,BRL ,CODE _+ ,2G9 -PUT] BRL CODE 9DICATOR _: ,5D -PUT] BRL CODE 9DICATOR . 7#DF7 ,DOT1 DECIMAL1 OR P]IOD _> ,CAP LOCK 9DICATOR _< ,CAP REL1SE 9DICATOR / ,SLA% M>K ,O!R @9 ,9* @# ,NUMB] SIGN 99 7#CE, #CE7 ,A/]ISK 95 7#CE1 #BF7 ,C>ET @& ,AMP]S& P#C ,O!R 73T47 @> ,*ECK M>K @ 7#D7 ,A35T _/ ,SLA% M>K ,,TRANSCRIB]'S ,,NOTES ,? VOLUME HAS BE5 TRANSCRIB$ US+ ! ..,,BANA ,BRL ,CODE ,UPDATE #BJJG1 ,E6ECTIVE ,DATE3 ,JANU>Y #A1 .#BJJH4 ,ELECTRONIC A4RESSES >E TRANSCRIB$ AC 6! RULES SET =? 9 ! ..,,BANA ,-PUT] ,BRL ,CODE ,REVIS$ .#BJJJ4 ,TA#S & COLUMN MAT]IAL 9 ? VOLUME HAS BE5 TRANSCRIB$ US+ ! ..,,BRL ,,CODE ,,= ,,COLUMN$ ,,MAT]IALS ,,& .,,TA#S ,MAY #CA/1 #AIIE4 ,^WS PR9T$ 9 BLUE >E TRANSCRIB$ 9 ITALICS 9 BRL4 P#E ,,FVLMA = ,/UD5TS ,:O >E #A-C ,PRE-,ACADEMIC OR ,ACADEMIC & ,VISU,Y ,IMPAIR$ 9 ,GRADES ;,K-#AB ,9TRODUC;N .,FUNC;NAL .VI.N IS DEF9$ Z H[ WELL A /UD5T USES VISUAL 9=M,N 9 P]=M+ DAILY ACTIVITIES 9 A V>IETY ( SETT+S4 ,A .FUNC;NAL .VI.N .ASSESS;T IS A S]IES ( 9T]VIEWS1 OBS]V,NS1 SCRE5+S1 & ASSESS;TS : M/ 2 MODIFI$ = EA* 9DIVIDUAL /UD5T'S AGE & ABILITIES4 ,A .LE>N+ .M$IA .ASSESS;T IS A S]IES ( OBS]V,NS & ASSESS;TS 6DET]M9E H[ A /UD5T A3ESSES1 OR MAY NE$ 6LE>N 6A3ESS1 PR9T$ 9=M,N4 ,9=M,N 9 PR9T MAY 2 A3ESS$3 VISU,Y1 E4G41 )\T GLASSES1 ) PRESCRIB$ GLASSES1 )A PRESCRIB$ L[ VI.N DEVICE1 OR ) 5L>G$ PR9T2 TACTU,Y1 E4G41 BRL2 AUDITORILY1 E4G41 V]B,Y ) LIVE R1D]1 RECORD$2 OR #A A -B9,N ( ANY ( ^! ME?ODS4 A#C ,! ,FUNC;NAL ,VI.N & ,LE>N+ ,M$IA ,ASSESS;T 7,,FVLMA71 IS US$ 6DET]M9E3 A7 H[ A /UD5T FUNC;NS VISU,Y 9 DAILY ACTIVITIES )A V>IETY ( MAT]IALS1 B7 WAYS 69CR1SE VISUAL FUNC;N+1 C7 A /UD5T'S PRIM>Y & SECOND>Y LE>N+ M$IA1 D7 CURR5T SKILLS 9 ! V>I\S >1S ( LIT]ACY 9/RUC;N1 E4G41 R1D+1 WRIT+1 LI/5+1 KEYBO>D+1 & RELAT$ TE*NOLOGY1 & E7 H[ ! VISUAL IMPAIR;T ADV]SELY A6ECTS ! /UD5T'S P]=M.E 9 ! G5]AL $UC,N CURRICULUM4 ..,! EXAM9] %D 2 A C]TIFI$ T1*] ( /UD5TS :O >E VISU,Y IMPAIR$ 7.,,TVI7 & H _H PRES]VICE &_/OR 9S]VICE TRA9+ REG>D+ TE*NIQUES = ASSESS+ FUNC;NAL VI.N & LE>N+ M$IA4 ,! ,FUNC;NAL ,VI.N & ,LE>N+ ,M$IA ,ASSESS;T 0 DEVELOP$ 0PRACTIC+ T1*]S ( /UD5TS :O >E VISU,Y IMPAIR$4 ,"! 0 A NE$ =A US]-FRLY 9/RU;T T WD PROVIDE A FRAME"W = SY/EMATIC & ?OR\< ASSESS;T (A /UD5T'S VISUAL FUNC;N+ &! NE$ = ADAPT$ $UC,NAL M$IA 6A3ESS 9=M,N AVAILA# 9 PR9T4 ,AL? ? 9/RU;T IS N A B#C /&>DIZ$1 NORM-REF];ED TE/1 X HAS BE5 PE]-REVIEW$ 0EXP]TS 9 ! FIELD ( VI.N & FIELD TE/$ 0T1*]S ( /UD5TS ) VISUAL IMPAIR;TS 7SEE PAGE ---- = LI/+ ( PROFES.NALS74 ,PREVI\S V].NS ( ? 9/RU;T H BE5 US$ 0,,TVI;S ACR ! C.TRY S9CE #AIIC4 ,! AU?ORS (F]$ ! 9/RU;T 6! ,AM]ICAN ,PR9T+ ,H\SE =! ,BL = PUBLIC,N S T X C 2 M R1DILY & EASILY AVAILA# 6,,TVI;S4 --------------------------------------#D ,! ,,FVLMA IS DESIGN$ 6ASSESS /UD5TS ) VISUAL IMPAIR;TS :O >E PREACADEMIC OR ACADEMIC4 ,IF A /UD5T IS MULTIPLY IMPAIR$ )A VISUAL IMPAIR;T &_/OR HAS CORTICAL VISUAL IMPAIR;T1 ! ,,TVI %D REF] 6! MAT]IALS DEVELOP$ 0,BE? ,LANGLEY 7,,ISAVE7 &_/OR ,DR4 ,*RI/9E ,ROMAN1 AVAILA# F ,,APH3 _+WWW.APH.ORG/CVI/_: ,2F ! ,,TVI 2G9S A ,,FVLMA1 ! /UD5T M/ H BE5 EXAM9$ 0AN EYE SPECIALI/ )9 ! PA/ #AB MON?S4 ,AN EYE REPORT M/ 2 OBTA9$ 0! ,,TVI 6DET]M9E IF A VI.N PRO#M EXI/S4 ,! EYE REPORT %D PROVIDE 9=M,N S* Z3 #C 3DI;N1 AGE ( ONSET1 ETIOLOGY1 A#D PROGNOSIS1 NE> & 4TANT ACUITIES )& )\T CORREC;N1 PRESCRIP;NS = GLASSES1 ! DOCTOR'S "N1 & DATE ( EXAM9,N4 ,! ,,TVI MAY NE$ 6CALL ! EYE SPECIALI/ &_/OR P>5TS REG>D+ "QS RELAT$ 69=M,N MISS+ F ! EYE REPORT OR ! /UD5T'S VISUAL /ATUS1 TR1T;T1 OR IMPLIC,NS4 ,IF ! /UD5T HAS BE5 EVALUAT$ 0A L[ VI.N SPECIALI/1 OBTA9 & REVIEW ! L[ VI.N EVALU,N REPORT4 ,NOTE ! DOCTOR'S "N & DATE ( EVALU,N2 BR&1 TYPE1 & P[] ( L[ VI.N DEVICES PRESCRIB$2 & VISUAL ACUITIES )& )\T ! DEVICES4 ,X IS RECOMM5D$ T ALL /UD5TS )A VISUAL IMPAIR;T 2 EVALUAT$ 0A L[ VI.N SPECIALI/4 ,ONCE A -PLET$ EYE REPORT =M &A L[ VI.N EVALU,N H BE5 RCVD & REVIEW$1 UTILIZE OPH?ALMOLOGIC REF];E BOOK7S7 69T]PRET G5]AL 9=M,N 9 ! REPORT4 ,IF NE$$1 CALL ! EYE SPECIALI/7S7 & P>5TS = CL>IFIC,N & A4I;NAL 9=M,N4 ,IF APPROPRIATE1 PROCE$ )! ,FUNC;NAL ,VI.N & ,LE>N+ ,M$IA ,ASSESS;T4 ,! ,,FVLMA IS -POS$ (! FOLL[+ B#D "PS3 ,9T]VIEWS & ,OBS]V,NS ,FUNC;NAL ,VI.N ,ASSESS;T 7,,FVA7 ,LE>N+ ,M$IA ,ASSESS;T 7,,LMA7 ,,FVLMA ,REPORT 7) $UC,NAL IMPLIC,NS7 ,,FVLMA ,GUIDEBOOK ,! ?REE ASSESS;T PROTOCOLS 7,9T]VIEWS & ,OBS]V,NS1 ,,FVA & ,,LMA7 PROVIDE CURSORY DIREC;NS & SPACE = RECORD+ 9=M,N4 ,! ,,FVLMA ,GUIDEBOOK PROVIDES M EXT5SIVE DIREC;NS & 9=M,N RELAT$ 6"U/&+ OBS]V,NS & DET]M9+ ! APPROPRIATE $UC,NAL IMPLIC,NS4 ,! ,,TVI M/ USE H] [N JUDG;T IN3 ADJU/+ ! SEQU;E (! ASSESS;T >1S & ITEMS1 SELECT+ MAT]IALS1 & 9T]PRET+ OBS]V,NS = MAK+ RECOMM5D,NS4 ,ASSESS;T ITEMS GIVE BRIEF DESCRIP;NS ( :AT 6D & :AT 6OBS]VE4 ,! ,,TVI %D ALW RECORD SIZE ( OBJECTS1 4T.ES VIEW$1 COLOR & 3TRA/1 VISUAL 2HAVIORS1 & /UD5T -;TS4 ,:5 A S]IES ( ^WS OR PHRASES >E SEP>AT$ 0A SLA%1 ! EXAM9] %D CIRCLE ! #E APPROPRIATE RESPONSE7S7 OR C#D *OICE7S74 --------------------------------------#E ,= 9ITIAL FUNC;NAL VI.N & LE>N+ M$IA ASSESS;TS1 ! ,,TVI W NE$ 6WRITE A REPORT SUMM>IZ+ OBS]V,NS MADE DUR+ ! ,,FVLMA 9CLUD+ ! /R5G?S & NE$S (! /UD5T &! $UC,NAL IMPLIC,NS (! /UD5T'S VISUAL FUNC;N+4 ,IF ALL[$ 0S*OOL 4TRICTS1 ESPECI,Y = RE-EVALU,NS1 ! ,,TVI MAY *OOSE 6USE ! A3OMPANY+ ,,FVLMA ,REPORT =M4 ,SPACE IS PROVID$ 6SUMM>IZE 9=M,N REG>D+ ! /UD5T'S EYE REPORT & P]=M.E 9 EA* >EA ASSESS$4 ,A4I;N,Y1 $UC,NAL IMPLIC,NS & RECOMM5D,NS CORRESPOND+ 6EA* >EA ASSESS$ >E LI/$ =! ,,TVI 6*ECK Z APPROPRIATE4 ,G5],Y ! GUIDEBOOK IS ORGANIZ$ US+ ! FOLL[+ H1D+S3 ,>EA ( ASSESS;T ,BACKGR.D 9=M,N ,MAT]IALS NE$$ ,ASSESS;T PROC$URES ,ASSESS;T PROTOCOL =! >EA ( ASSESS;T ,TYPICAL RESPONSE EXAMPLES A#E ,ATYPICAL RESPONSE EXAMPLES ,EXAMPLES ( FUNC;NAL PRO#MS ,$UC,NAL IMPLIC,NS : 9CLUDES 9=M,N F ! ,,FVLMA ,REPORT =M =! >EA ,! ,,TVI M/ AL ASSESS A /UD5T'S SKILLS 9 ! >1S (! ,EXP&$ ,CORE ,CURRICULUM 7,,ECC7 6DET]M9E S]VICE NE$S & 6PLAN APPROPRIATE GOALS & OBJECTIVES4 ,! ,EXP&$ ,CORE ,CURRICULUM ,SCRE5+ ,RECORD 0,BURNETT & ,SAN=D 7#BJJG71 9CLUD$ 9 ,APP5DIX ;,B1 IS AN EXAMPLE ( AN 9/RU;T T MAY 2 ADM9I/]$ 6OBTA9 -PREH5SIVE FE$BACK REG>D+ ! /UD5T'S NE$S 9 EA* >EA (! ,,ECC4 ,! ,,TVI %D UTILIZE A4I;NAL ASSESS;TS &_/OR M DETAIL$ *ECKLI/S Z NE$$ 9 EA* >EA (! ,,ECC 6ID5TIFY SPECIFIC SKILLS 6BE TAUAPH_<.ORG_:7 >E EXCELL5T RES\RCES = ASSESS;TS1 *ECKLI/S1 CURRICUL> MAT]IALS1 & $UC,NAL PRODUCTS4 ,! ,,APH ,PRODUCTS ,CATALOG IS #G ORGANIZ$ 0,,ECC >1S & IS AVAILA# B#E ON ! WEB4 ,! /UD5T M/ 2 ASSESS$ :ILE WE>+ GLASSES &_/OR US+ A L[ VI.N DEVICE1 IF EI OR BO? H BE5 PRESCRIB$4 ,! ,,TVI %D ASSUME T EA* /UD5T HAS "S REMA9+ FUNC;NAL VI.N & %D -PLETE APPROPRIATE ACTIVITIES F ! 9/RU;T 6DET]M9E IF & H[ WELL ! /UD5T USES ! REMA9+ VI.N4 ,A DESCRIP;N (! SPACE NE$$ 63DUCT ! ,,FVLMA &A LI/ ( MAT]IALS C 2 F.D 9 ,APP5DIX ;,A4 ,,APH PLANS 6DEVELOP A KIT ( MAT]IALS = USE DUR+ ASSESS;T4 --------------------------------------#F ,FUNC;NAL ,VI.N & ,LE>N+ ,M$IA ,ASSESS;T ,9T]VIEWS & ,OBS]V,NS ,/UD5T & ,S*OOL ,9=M,N ,ID5TIFY+ 9=M,N =! ,,FVLMA IS OBTA9$ 0REVIEW+ CURR5T /UD5T 9=M,N 9 ! S*OOL (FICE & REF]RAL RECORD4 ,ID5TIFY+ 9=M,N G5],Y 9CLUDES ! "N (! /UD5T1 BIR?DATE1 AGE1 GRADE1 P>5TS' "NS1 A4RESS1 S*OOL1 & T1*]4 ,! ,,TVI W NE$ 6-MUNICATE ) A#F APPROPRIATE S*OOL P]SONNEL 6ID5TIFY OBS]V,N & ASSESS;T "TS1 SPACE = ASSESS;T1 ETC4 ,GA!R+ ? 9=M,N AT ! ONSET C SAVE "T & 9T]RUP;NS LAT]4 ,/UD5T ---- ,BIR?DATE ---- ,GRADE ---- ,AGE ---- ,/UD5T @# ---- ,PH"O 7;,H7 ---- ,"F ---- ,PH"O 7;,W7 ---- ,"M ---- ,PH"O 7;,W7 ---- ,A4RESS ---- ,S*OOL ---- ,S*OOL ,PH"O ---- ,T1*] ---- ,PR9CIPAL ---- ,SECRET>Y ---- ,BE/ ,ASSESS;T ,"T ---- ,BE/ ,"D & ,"T 6,9T]VIEW ,T1*] ---- ,BE/ ,OBS]V,N ,"T ---- #I ,BE/ ,"D & ,"T = ,,IEP ,T1M B#F ,MEET+ ---- ,"T ,S*OOL ,/>TS ---- ,"T ,S*OOL ,5DS ---- ,P4,E4 ,"T ---- ,LUN* ,"T ---- ,ROOM_/,SPACE ,RES]V$ = ,ASSESS;T ---- ,REF]R$ 0,9ITIAL ,ASSESS;T_/,RE-EVALU,N ---- ,,TVI ,EXAM9] ---- ,ASSESS;T ,DATES ---- ,ASSESS;T ,*ECKLI/ ,2F ASSESS+ SPECIFIC VISUAL FUNC;NS & $UC,NAL M$IA1 ! ,,TVI %D REVIEW ! $UC,NAL HI/ORY AVAILA# 9 ! /UD5T'S CUMULATIVE FOLD]2 REVIEW ! EYE REPORT2 9T]VIEW P>5TS1 T1*]S1 & /UD5T1 IF APPROPRIATE2 & OBS]VE ! /UD5T 9 ! CLASSROOM & O!R 5VIRON;TS ": DI6ICULTIES H BE5 REPORT$4 ,! ,,FVLMA IS SEQU;ED 9 A US]-FRLY MANN]1 B ! ,,TVI C ADM9I/] MO/ ACTIVITIES 9 A DI6]5T SEQU;E IF DESIR$4 ,! FOLL[+ ,ASSESS;T ,*ECKLI/ PROVIDES A -PLETE LI/+ ( ALL SEC;NS (! ,,FVLMA4 ,X C 2 US$ 6DOCU;T SEC;NS Z !Y >E C#F -PLET$4 --------------------------------------#G ,',! BOX 2L ON PR9T PAGE #G-H HAS S"EAL 9T]IOR BOXES4 ,COLUMN H1D+S >E REP1T$ ) EA* SEC;N4,' 7777777777777777777777777777777777777777 ,,ASSESS;T ,,*ECKLI/ ,,DATE ,,NOTES "3333333333333333333 "33333 "333333 ,EYE ,REPORT ,REVIEW ---- ---- ,L[ ,VI.N ,EVALU,N ,REVIEW """""""""" ---- ---- 3333333333333333333333333333333333333333 ,CUMULATIVE ,REVIEW1 ,9T]VIEWS & ,OBS]V,NS ,,ASSESS;T ,,*ECKLI/ ,,DATE ,,NOTES "3333333333333333333 "33333 "333333 ,CUMULATIVE ,FOLD] ,REVIEW """""""""" ---- ---- ,P>5T ,9T]VIEW ---- ---- ,CLASSROOM ,T1*] ,9T]VIEW """"""""""" ---- ---- ,/UD5T ,9T]VIEW """" ---- ---- ,OBS]V,NS ( ,VISUAL #AA ,2HAVIORS """""""" ---- ---- A#G ,CLASSROOM ,OBS]V,N ---- ---- ,ORI5T,N & ,MOBIL;Y ,SCRE5+ """""""""" ---- ---- ,PHYSICAL ,$UC,N OBS]V,N """""""""" ---- ---- ,FUNC;NAL ,VI.N ,,ASSESS;T ,,*ECKLI/ ,,DATE ,,NOTES "33333333333333333333 "33333 "333333 #A4 ,APPE>.E ( ,EYES ---- ---- #B4 ,2HAVIORAL ,ABNORMALITIES ---- ---- #C4 ,VISUAL ,RESPONSE 6,OBJECTS ---- ---- #D4 ,VISUAL ,RESPONSE 6,LI ,ACU;Y & ,4CRIM9,N ---- ---- #AJ4 ,4TANT ,ACU;Y & ,4CRIM9,N ---- ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG --------------------------------------#H 7777777777777777777777777777777777777777 ,LE>N+ ,M$IA ,ASSESS;T ,,ASSESS;T ,,*ECKLI/ ,,DATE ,,NOTES "3333333333333333333 "33333 "333333 #A4 ,CURR5T ,PR9T ,FUNC;N+ ---- ---- #B4 ,ORAL ,R1D+ ---- ---- #C4 ,SIL5T ,R1D+ ---- ---- #D4 ,LI/5+ ---- ---- #E4 ,-PUT] ,MONITOR ,A3ESS ---- ---- #F4 ,NE> ,R1D+ & ,WRIT+ ---- ---- #G4 ,4TANT ,R1D+ & ,WRIT+ ---- ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG #AC ,NOTES3 7#H BLANK L9ES7 A#H --------------------------------------#I ,CUMULATIVE ,FOLD] ,REVIEW ,ONCE A REF]RAL IS MADE1 ! ,,TVI %D REVIEW ! /UD5T'S CUMULATIVE FILE 6DET]M9E IF ! VI.N PRO#M HAS BE5 PREVI\SLY A4RESS$ & 6NOTE ANY A4I;NAL FACTORS T MAY 2 3TRIBUT+ 6CLASSROOM 3C]NS4 ,P]H A /UD5T HAS PREVI\SLY BE5 REF]R$ = VI.N S]VICES & HAS BE5 DET]M9$ 9ELIGI#1 OR P]H POOR ATT5D.E OR FREQU5T MOVES F S*OOL 6S*OOL CD 2 3TRIBUT+ 6OBS]V$ 3C]NS & ACADEMIC PRO#MS4 ,! $UC,NAL HI/ORY (! /UD5T %D 2 SUMM>IZ$ 9CLUD+ A LI/ ( S*OOLS ATT5D$ & ATT5D.E 9=M,N4 ,PRES5T LEVELS ( P]=M.E %D 2 9CLUD$ Z "P (! $UC,NAL HI/ORY & %D DESCRIBE ! MO/ REC5T RESULTS F PSY*OLOGICAL TE/+ & DEVELOP;TAL OR A*IEVE;T TE/+4 ,IF NO S* TE/ 9=M,N IS AVAILA# 9 ! CUMULATIVE FOLD]1 OR IF TE/ 9=M,N IS 9COMPLETE1 A*IEVE;T OR DEVELOP;TAL TE/+ %D 2 -PLET$ BY APPROPRIATE P]SONNEL Z "P (! FUNC;NAL VI.N & LE>N+ M$IA ASSESS;T 6DOCU;T A#I LEVELS ( ACADEMIC P]=M.E4 -------------------------------------#AJ ,CUMULATIVE ,FOLD] ,REVIEW ,/UD5T ---- ,DATE ---- ,S*OOLS ,ATT5D$ 7#E BLANK L9ES7 ,LOC,NS 7#E BLANK L9ES7 ,DATES 7#E BLANK L9ES7 ,VI.N & ,HE>+ ,SCRE5+ ,9=M,N 7#C BLANK L9ES7 ,ATT5D.E ,9=M,N 7#C BLANK L9ES7 ,GRADES 7#D BLANK L9ES7 ,A*IEVE;T ,SCORES 7#I BLANK L9ES7 ,PSY*OLOGICAL ,SCORES 7IF AVAILA#7 7#I BLANK L9ES7 ,3SID] NE$ = PSY*OLOGICAL8 YES_/NO ,A4I;NAL ,9=M,N 7#I BLANK L9ES7 -------------------------------------#AA ,PRES5T ,$UC,N ,PROGRAM ,G5]AL ,$UC,N ,H\RS 7#D BLANK L9ES7 ,SPECIAL ,$UC,N H\RS 7#B BLANK L9ES7 ,SPECIFY ,SPECIAL ,$UC,N & RELAT$ S]VICES3 7#E BLANK L9ES7 #AE ,SPECIAL ,$UC,N ,4ABIL;Y ,>1S A#AA AUTISM D1F-BL;S DEVELOP;TAL DELAY EMO;NAL 4TURB.E FUNC;N,Y DELAY$ HE>+ IMPAIR;T_/D1F;S 9TELLECTU,Y GIFT$ M5TAL RET>D,N MULTIPLE 4ABILITIES OR?OP$IC_/PHYSICAL IMPAIR;T O!R H1L? IMPAIR;TS SPECIFIC LE>N+ 4ABILITIES SPEE*_/LANGUAGE IMPAIR;T TRAUMATIC BRA9 9JURY VISUAL IMPAIR;T_/BL O!R ---- O!R ---- ,NOTES3 7#AC BLANK L9ES7 ,$UC,NAL ,IMPLIC,NS #AB .,CUMULATIVE .,FOLD] .,REVIEW 79=M,N OBTA9$ F CUMULATIVE FOLD] REVIEW7 7#G BLANK L9ES7 ,3SID] NE$ = PSY*OLOGICAL ASSESS;T ,MONITOR GRADES ,O!R ---- ,O!R ---- ,3SULT ;W_/ PSY*OLOGI/ RE3 TE/ MODIFIC,NS 7,SPECIFY7 ,ASSESS ,EXP&$ ,CORE >1S ,O!R ---- ,O!R ---- -------------------------------------#AC ,9T]VIEWS ,9T]VIEWS ) P>5T7S71 T1*]S1 &! /UD5T1 IF APPROPRIATE1 %D 2 -PLET$4 ,9T]VIEWS PROVIDE EXCELL5T OPPORTUNITIES 6SCRE5 = PRO#MS & 6ID5TIFY >1S 6T>GET = FUR!R ASSESS;T4 ,X IS HELP;L 6H A LI/ ( "QS = GA!R+ 9=M,N S* Z T PROVID$ 9 ? ASSESS;T4 ,P>5TS >E A "PICUL>LY 9TEGRAL "P ( #AG ASSESS+ A /UD5T'S FUNC;NAL VI.N4 A#AC ,!Y >E MO/ FAMILI> ) _! *'S FUNC;N+ 9 DAILY 5VIRON;TS & C FURNI% VALUA# 9=M,N 6ASSI/ 9 ID5TIFY+ PRO#M >1S4 ,OP5-5D$ "QS RELAT$ 6A4I;NAL H&ICAPP+ 3DI;NS1 ! *'S P]SONAL;Y & SOCIAL 9T]AC;NS1 TRAVEL SKILLS1 & SELF-HELP SKILLS S* Z EAT+1 DRESS+1 & TOILET+ %D 2 ASK$4 ,! USE (A /RUCTUR$ SCRE5+ 9/RU;T S* Z ! ,EXP&$ ,CORE ,CURRICULUM 0,BURNETT & ,SAN=D 7#BJJG7 C 2 V HELP;L 9 9T]VIEWS4 ,! CLASSROOM T1*]7S7 C PROVIDE 9=M,N RELAT$ 6! /UD5T'S VISUAL FUNC;N+ 9 ! S*OOL 5VIRON;T &! /UD5T'S ACADEMIC &_/OR DEVELOP;TAL /R5G?S & NE$S4 ,A DESCRIP;N (! /UD5T'S QUAL;Y & QUANT;Y ( CLASS "W1 CURR5T R1D+ LEVEL1 SOCIAL SKILLS ) PE]S & ADULTS1 PRO#MS ) NE> & 4TANT R1D+1 /UDY SKILLS1 TRAVEL SKILLS1 & ORGANIZ,NAL SKILLS C 2 PROVID$ 0! CLASSROOM T1*]4 ,3C]NS REG>D+ /UD5T P]=M.E 9 SPECIAL SETT+S S* Z ! CAFET]IA1 PHYSICAL $UC,N CLASS1 OR -PUT] LABORATORY %D AL 2 A4RESS$4 ,AN 9T]VIEW )! /UD5T DUR+ ! F/ ASSESS;T SES.N GIVES AN B#AC OPPORTUN;Y 6E/ABLI% RAPPORT1 6EXPLA9 ! FUNC;NAL VI.N ASSESS;T PROCESS1 6OBS]VE ! APPE>.E (! /UD5T'S EYES1 6ASSESS ! /UD5T'S K (! EYE 3DI;N1 &=! /UD5T 6%>E PRO#MS RELAT$ 6VI.N4 ,! 9T]VIEW PROVIDES AN OPPORTUN;Y 6DET]M9E LIKES1 4LIKES1 PRO#MS1 & 3C]NS REG>D+ ACADEMIC P]=M.E4 ,X IS HELP;L 6H A LI/ ( "QS = GA!R+ 9=M,N4 ,MO/ S*OOL-AG$ /UD5TS %D 2 A# 6DESCRIBE _! PRO#MS :5 VIEW+ VIDEOS1 COPY+ F ! BO>D1 COPY+ F TEXTBOOKS1 LI/5+ 6DIREC;NS1 TRAVEL+ >.D ! S*OOL1 & "PICIPAT+ 9 PHYSICAL $UC,N4 ,! ,,TVI MAY WANT 6ASK "QS REG>D+ PRO#MS SEE+ SPORTS EV5TS1 MOVIES1 PLAYS1 & 3C]TS4 ,OBTA9 COPIES ( UNUS$ CLASSROOM H&\TS = USE DUR+ ! ASSESS;T4 ,GET SAMPLES ( /UD5T'S "W3 VISUAL P]CEP;N ACTIVITIES = "Y /UD5TS1 MA? -PUT,N ASSIGN;TS COPI$ F BOOK_/BO>D1 & O!R "W SAMPLES Z APPROPRIATE4 #AI ,P>5T ,9T]VIEW #AD ,/UD5T ---- ,P>5T ---- ,DATE ---- ,P>5T ;,E-MAIL ---- ,P>5T ,CELL ,PH"O ---- #A4 ,DESCRIBE YR *'S VI.N PRO#M & H[ X A6ECTS HIS_/H] FUNC;N+4 7#B BLANK L9ES7 #B4 ,DESCRIBE H[ YR * EXPLORES NEW OBJECTS 7VISU,Y1 TACTU,Y1 AUDITORILY1 OR A -B9,N74 7#C BLANK L9ES7 #C4 ,IS YR * S5SITIVE 6B"R LIE8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #D4 ,HAS YR * BE5 PRESCRIB$ GLASSES8 YES_/NO ---- ,DOES YR * WE> ! GLASSES8 YES_/NO ---- ,D ! GLASSES APPE> 6HELP YR * SEE BETT]8 YES_/NO ---- ,DESCRIBE ---- #E4 ,HAS YR * BE5 PRESCRIB$ L[ VI.N DEVICE7S7 = NE> VI.N8 YES_/NO ,SPECIFY4 ---- ,DESCRIBE USE ( DEVICE7S74 7#B A#AD BLANK L9ES7 #F4 ,HAS YR * BE5 PRESCRIB$ L[ VI.N DEVICE7S7 = 4T.E VI.N8 YES_/NO ,SPECIFY4 ---- ,DESCRIBE USE ( DEVICE7S74 7#B BLANK L9ES7 #G4 ,DESCRIBE YR *'S P]SONAL;Y 7E4G41 NORMAL1 %Y1 QUIET1 A7RESSIVE1 HYP]ACTIVE74 ---- #H4 ,DOES YR * EXHIBIT AGE-APPROPRIATE SKILLS 9 DAILY LIV+ ACTIVITIES & *ORES 7EAT+1 DRESS+1 P]SONAL HYGI5E1 & GROOM+1 ETC478 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #I4 ,DOES YR * TRAVEL 9DEP5D5TLY 6& F ! BUS /OP8 YES_/NO ---- ,9 YR NEIE] GOALS8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 ,D Y 2LIEVE T YR *'S $UC,NAL PROGRAM IS SUPPORT+ ^? GOALS8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #AD4 ,IS YR * CURR5TLY TAK+ ANY PRESCRIB$ M$IC,NS8 YES_/NO ---- ,DESCRIBE4 7#C BLANK L9ES7 #AE4 ,DESCRIBE SETT+S OR ACTIVITIES ( 3C]N 9 : ! ,,TVI %D OBS]VE YR *4 7#C BLANK L9ES7 #AF4 ,D Y H 3C]NS REG>D+ YR * T H N BE5 4CUSS$8 YES_/NO ,DESCRIBE4 7#H BLANK L9ES7 ,CLASSROOM ,T1*] ,9T]VIEW #AF ,/UD5T ---- ,T1*] ---- ,DATE ---- ,T1*] ;,E-MAIL ---- ,T1*] ,CELL ,PH"O ---- #A ,DESCRIBE /UD5T'S /R5G?S4 7#B BLANK L9ES7 #B4 ,DESCRIBE QUAL;Y & QUANT;Y ( /UD5T'S "W4 7#B BLANK L9ES7 #C4 ,IS /UD5T'S "W -M5SURATE ) PE]S8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #D4 ,:AT IS /UD5T'S CURR5T R1D+ LEVEL8 ---- ,:AT BOOK IS US$8 ---- #E4 ,DOES /UD5T EXHIBIT GD_/FAIR_/POOR LI/5+ SKILLS8 ---- ,DESCRIBE4 7#B BLANK L9ES7 #F4 ,DOES /UD5T RELATE WELL 6PE]S8 YES_/NO ---- ,6ADULTS8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #G4 ,DESCRIBE H[ ! /UD5T EXPLORES #BC NEW MAT]IALS 7VISU,Y1 TACTU,Y1 A#AF AUDITORILY1 OR A -B9,N74 7#B BLANK L9ES7 #H4 ,DESCRIBE APPE>.E ( EYES1 -PLA9TS1 & ABNORMAL VISUAL 2HAVIORS4 7#B BLANK L9ES7 #I4 ,DOES /UD5T WE> GLASSES8 YES_/NO ---- ,D ! GLASSES APPE> 6HELP ! /UD5T SEE BETT]8 YES_/NO 7#B BLANK L9ES7 #AJ4 ,DOES /UD5T USE L[ VI.N DEVICE7S7 = NE> VI.N8 YES_/NO ---- ,DESCRIBE USE ( DEVICE7S74 7#B BLANK L9ES7 #AA4 ,DOES /UD5T USE L[ VI.N DEVICE7S7 = 4TANT VI.N8 YES_/NO ---- ,DESCRIBE USE ( DEVICE7S74 7#B BLANK L9ES7 -------------------------------------#AG #AB4 ,IS ! /UD5T S5SITIVE 6B"R LIE8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #AC4 ,9DICATE PRO#MS ) NE> R1D+_/WRIT+3 ,REGUL> PR9T8 A#AG ,MAPS_/,ILLU/R,NS8 ,MA? TOOLS8 ,DESCRIBE PRO#MS RELAT$ 64T.E1 SPE$1 FATIGUE1 A3URACY1 & H&WRIT+ LEGIBIL;Y4 7#B BLANK L9ES7 #AD4 ,IF /UD5T USES ! -PUT]1 DESCRIBE PRO#MS4 7#B BLANK L9ES7 #AE4 ,9DICATE PRO#MS ) 4TANT R1D+_/WRIT+3 ,BO>D_/,OV]H1D8 ---- ,,TV_/,VIDEO8 ---- ,MAPS_/,*>TS8 ---- ,DESCRIBE PRO#MS RELAT$ 64T.E1 SPE$1 FATIGUE1 & A3URACY4 ---- #AF4 ,DOES /UD5T F9I% "W_/HOME"W ON "T8 YES_/NO ---- ,-PLA9 ( FATIGUE8 YES_/NO ---- ,DESCRIBE PRO#MS4 7#B BLANK L9ES7 #AG4 ,DOES /UD5T EXHIBIT GD_/FAIR_/POOR /UDY SKILLS ---- ,DESCRIBE 7#B BLANK L9ES7 #BE #AH4 ,DOES /UD5T TRAVEL B#AG 9DEP5D5TLY 9 CLASSROOM8 YES_/NO ---- ,9 & >.D ! S*OOL8 YES_/NO ,6& F S*OOL BUS8 YES_/NO ---- ,DESCRIBE PRO#MS4 7#B BLANK L9ES7 #AI4 ,DOES /UD5T EXHIBIT GD_/FAIR_/POOR ORGANIZ,NAL SKILLS ) S*OOL SUPPLIES1 BOOKS1 & P]SONAL 2L;G+S8 ---- ,DESCRIBE4 7#B BLANK L9ES7 #BJ4 ,>E "! SETT+S OR ACTIVITIES ( 3C]N 9 : ! ,,TVI %D OBS]VE ! /UD5T 7-PUT]1 CAFET]IA1 ETC478 7#C BLANK L9ES7 -------------------------------------#AH ,/UD5T ,9T]VIEW ,/UD5T ---- ,DATE ---- #A4 ,:AT D Y L MO/ AB S*OOL8 7#C BLANK L9ES7 #B4 ,:AT D Y L L1/ AB S*OOL8 7#C BLANK L9ES7 #C4 ,D Y H _M FRS 9 S*OOL8 YES_/NO ---- ,DESCRIBE4 7#C BLANK L9ES7 #D4 ,D Y H PRO#MS VIEW+ TELEVI.N8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 A#AH #E4 ,D Y H PRO#MS R1D+ 9=M,N F A 4T.E 7E4G41 BO>D OR OV]H1DS78 ,YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #F4 ,9 : CLASSES D Y H 6COPY 9=M,N F ! BO>D OR OV]H1D8 ,DESCRIBE PRO#MS4 7#B BLANK L9ES7 #G4 ,D Y H & USE A TELESCOPE8 YES_/NO 7#B BLANK L9ES7 #H4 ,D Y H PRO#MS R1D+ & COPY+ F YR TEXTBOOKS & H&\TS8 YES_/NO ---- ,DESCRIBE4 7#B BLANK L9ES7 #I4 ,D Y H & USE A MAGNIFI] :5 Y R1D8 YES_/NO 7#C BLANK L9ES7 #AJ4 ,AB H[ L;G C Y R1D 2F YR EYES GET TIR$ & Y NE$ A BR1K8 7#B BLANK L9ES7 #AA4 ,D Y F9I% YR "W :5 O!RS F9I%8 YES_/NO ---- -------------------------------------#AI ,DESCRIBE PRO#MS4 7#B BLANK L9ES7 #AB4 ,H[ WD Y RATE YR LI/5+ SKILLS8 ,POOR_/,FAIR_/,GD 7#C BLANK L9ES7 #AC4 ,D Y H PRO#MS 9 PHYSICAL $UC,N8 YES_/NO ---- #BG ,DESCRIBE4 7#B BLANK L9ES7 A#AI #AD4 ,C Y SEE SPORTS EV5TS8 YES_/NO ---- ,MOVIES AT !AT]S8 YES_/NO ---- ,P & PROPS AT PLAYS & 3C]TS8 YES_/NO ---- ,D Y USE A TELESCOPE 9 ^! SETT+S8 YES_/NO ---- ,SPECIFY PRO#MS4 7#B BLANK L9ES7 #AE4 ,C Y TRAVEL 9DEP5D5TLY & -=TABLY 9 & >.D ! S*OOL8 BUS CLASSROOMS RE/ROOM CAFET]IA M$IA C5T] GYM PLAYGR.D #AF4 ,:AT D Y "K AB YR VISUAL IMPAIR;T8 7#C BLANK L9ES7 #AG4 ,:AT K9DS ( HELP D Y NE$ 9 S*OOL8 7#C BLANK L9ES7 #AH4 ,:AT K9D ( "W D Y WANT 6D :5 Y GR[ UP8 7#C BLANK L9ES7 #AI4 ,D Y H "QS AB YR VI.N8 7#C B#AI BLANK L9ES7 #BJ4 ,:AT D Y 5JOY DO+ DUR+ YR FREE "T8 7#E BLANK L9ES7 -------------------------------------#BJ ,OBS]V,NS ,? SEC;N 9CLUDES DIRECT OBS]V,NS (! /UD5T 9 ! CLASSROOM 5VIRON;T 0! ,,TVI & OBS]V,NS ( VISUAL 2HAVIORS REPORT$ 0! /UD5T'S T1*]7S74 ,! /UD5T %D 2 OBS]V$ 9 V>I\S 5VIRON;TS1 S* Z ! CAFET]IA1 PHYSICAL $UC,N CLASS1 & -PUT] LABORATORY IF 3C]NS >E VOIC$ 0! P>5T7S71 T1*]7S71 OR ! /UD5T 9 ! 9T]VIEWS4 ,OBS]V,NS PROVIDE VALUA# 9=M,N 6HELP P9PO9T SPECIFIC PRO#MS 6BE A4RESS$4 ,! ,,TVI %D OBS]VE 9 S* A WAY T ! /UD5T IS UNAW>E ( 2+ ! FOCUS 9 ORD] 6AVOID ! 8OBS]V] E6ECT40 -------------------------------------#BA ,OBS]V,NS ( ,VISUAL ,2HAVIORS ,/UD5T ---- ,DATE ---- ,P>5T_/,T1*] ---- #BI ,PL1SE *ECK @> ! FOLL[+ VISUAL A#BA 2HAVIORS Y H OBS]V$4 ,NOTE A4I;NAL 3C]NS OR OBS]V,NS ON ! BLANK L9ES4 #A4 ,APPE>.E ( ,EYES ,R$D5$ EYES ---- ,WAT]Y EYES ---- ,CRU/$ EYELIDS ---- ,4*>GE OR PUS ---- ,BLOOD%OT EYES ---- ,FREQU5T /YE ---- ,EYES TURN IN_/\_/UP_/D[N ---- #B4 ,-PLA9TS ,:5 ,US+ ,EYES ,DIZZI;S ---- ,PA9 9 ! EYES ---- ,H1DA*E ---- ,NAUSEA ---- ,BLURR$ VI.N ---- ,D\# VI.N ---- ,BURN+ OR IT*+ LIDS ---- #C4 ,P]IPH]AL ,VI.N ,TURNS H1D :5 TRAVEL+ ---- ,LOSES OBJECTS \TSIDE C5TRAL >ES ---- ,BUMPS 96OBJECTS ON EI SIDE ---- ,/>TLES :5 APPROA*$ F SIDE7S7 ---- ,FAILS 6NOTICE OBJECTS ON EI B#BA SIDE ---- ,NOTES3 7#G BLANK L9ES7 -------------------------------------#BB #D4 ,NE> ,VI.N ,?RU/S H1D =W>D 6SEE ---- ,FR[NS :5 LOOK+ ---- ,COV]S OR CLOSES "O EYE ---- ,UNUSUAL FATIGUE ) NE> "W ---- ,HOLDS MAT]IALS AT UNUSUAL ANGLE ---- ,TURNS H1D1 US+ ONLY "O EYE ---- ,HOLDS MAT]IALS V CLOSE 6SEE ---- ,DI6ICULTY R1D+ REGUL> PR9T ---- ,USES F+] Z M>K] OR GUIDE ---- ,VISU,Y EXPLORES NEW OBJECTS ---- ,TACTU,Y EXPLORES NEW OBJECTS ---- #E4 ,4TANT ,VI.N ,?RU/S H1D =W>D 6SEE ---- ,DI6ICULTY R1D+ F BO>D ---- ,DI6ICULTY LOCAT+ WALL CLOCK ---- ,FAILS 6SEE 4TANT OBJECTS ---- ,FREQU5TLY RUNS 96OBJECTS ---- ,WALKS ) EXTREME CAU;N ---- #F4 ,O!R ,VISUAL ,2HAVIORS #CA ,OV]LY S5SITIVE 6LIGE_/SMALL GR\P2 9/RUC;NAL ME?OD US$1 ETC474 7#C BLANK L9ES7 #B4 ,DESCRIBE /UD5T'S 2HAVIOR Z -P>$ 6CLASSMATES4 7#C BLANK L9ES7 #C4 ,DESCRIBE H[ ! /UD5T EXPLORES NEW MAT]IALS 7VISU,Y1 TACTU,Y1 AUDITORILY1 OR A -B9,N74 7#C BLANK L9ES7 #D4 ,DESCRIBE VISUAL 2HAVIORS 7SQU9TS1 TURNS H1D1 "W+ 4T.E1 ETC47 & 9COMPATI# 2HAVIORS 7PRESSES A#BC EYE1 ROCKS1 LI GLASSES8 YES_/NO ---- ,USE L[ VI.N DEVICE8 YES_/NO ---- ,DESCRIBE 3C]NS4 7#B BLANK L9ES7 #F4 ,DOES /UD5T MA9TA9 EYE 3TACT_/VISUAL ATT5;N ) ACTIVITIES8 YES_/NO ,) P8 YES_/NO 7#C BLANK L9ES7 #G4 ,DOES /UD5T RELATE WELL 6PE]S8 YES_/NO ,6ADULTS8 YES_/NO 7#C BLANK L9ES7 #H4 ,DESCRIBE 3C]NS REG>D+ MAT]IALS 7:ITEBO>D1 TEXTBOOKS1 H&\TS1 OV]H1DS1 -PUT]1 CALCULATOR1 ETC47 & DESK_/"WSPACE 7HEID+ CLASSROOM 7LIRANGE;T1 ETC474 7#B BLANK L9ES7 #AJ4 ,DOES /UD5T FOLL[ DIREC;NS & REMA9 ON TASK8 7#C BLANK L9ES7 #AA4 ,DOES /UD5T TRAVEL 9DEP5D5TLY #CC 9 & >.D ! CLASSROOM8 YES_/NO A#BD ---- ,DESCRIBE PRO#MS4 7#B BLANK L9ES7 #AB4 ,O!R OBS]V,NS & 3C]NS4 7#B BLANK L9ES7 ,NOTES3 7#BD BLANK L9ES7 -------------------------------------#BE ,$UC,NAL ,IMPLIC,NS ..,9T]VIEWS & ,CLASSROOM .,OBS]V,NS 79=M,N F P>5T1 T1*]1 & /UD5T7 7#I BLANK L9ES7 ,REF] 6SOCIAL "W S]VICES ,REF] = O!R SPECIAL $UC,N S]VICES 7,SPECIFY7 ---- ,PROVIDE N>RATIVE DESCRIP;NS = VIDEOS1 ETC4 ,T1* ASS]TIVE;S RE3 NE$S ,PROVIDE TACTILE MODELS Z NE$$ ,O!R ---- ,3NECT P>5TS 6O!R P>5TS ,3SULT P>5T_/T1*]_//UD5T RE3 3DI;N ,3SULT ) O!R SPECIALI/7S7 ,O!R ---- A#BE ,O!R ---- ,O!R ---- -------------------------------------#BF ,ORI5T,N & ,MOBIL;Y ,SCRE5+ & ,PHYSICAL ,$UC,N ,OBS]V,N ,BACKGR.D ,9=M,N ,ORI5T,N & MOBIL;Y & PHYSICAL $UC,N ACTIVITIES REQUIRE ! USE ( 4TANT & P]IPH]AL VI.N4 ,OBS]V,NS ( ORI5T,N & MOBIL;Y & PHYSICAL $UC,N >E /R;GLY 5C\RAG$ Z A "P (! FUNC;NAL VI.N ASSESS;T4 ,IDE,Y E /UD5T RCVG VI.N S]VICES %D 2 EVALUAT$ 0AN ,ORI5T,N & ,MOBIL;Y SPECIALI/4 ,DEP? P]CEP;N IS AN IMPORTANT SKILL US$ 9 ORI5T,N & MOBIL;Y & 9 PHYSICAL $UC,N4 ,DEP? P]CEP;N SKILLS HELP ! /UD5T 6DET]M9E T "S OBJECTS >E CLOS] & O!RS >E F>!R AWAY4 ,AC 6! ,PROGRAM 9 ,L[ ,VI.N ,!RAPY 7#BJJD71 8,MO/ L[ VI.N PATI5TS D N H GD OR ANY /]EOPSIS4 ,H["E1 ? DOES N M1N T !Y D N H DEP? P]CEP;N2 ^! >E TWO DI6]5T VISUAL SKILLS4 ,DEP? #CE P]CEP;N IS A MONOCUL> A#BF VISUAL_/P]CEPTUAL SKILL & DOES N DEP5D ON /]EOPSIS0 7P4 #DF74 ,IF A /UD5T LOSES B9OCUL> VI.N1 AN ADJU/;T P]IOD MAY 2 REQUIR$ 6DEVELOP RELATIVE 4T.E RECOGNI;N SKILLS = ACTIVITIES REQUIR+ DEP? P]CEP;N4 ,! P]CEP;N ( VISUAL DEP? IS DI6ICULT = _M /UD5TS ) L[ VI.N & A4I;NAL "T MAY 2 NE$$ 6OBTA9 NE$$ 5VIRON;TAL 9=M,N = A3URATE JUDG;TS4 ,MAT]IALS ,NE$$ #F@9 B"RLY-COLOR$ BALL ,ASSESS;T ,PROC$URES ,OBS]V,NS ( ORI5T,N & MOBIL;Y SKILLS %D 2 D"O 9DOORS & \TDOORS4 ,H ! /UD5T GIVE ! ,,TVI A T\R (! S*OOL BUILD+4 ,OBS]VE ! -=T LEVEL (! /UD5T 9 TRAVEL+ >.D ! BUILD+ &! FAMILI>;Y ) -MON >1S S* Z ! (FICE1 GYMNASIUM1 /AIRS1 >T ROOM1 & MUSIC ROOM4 ,NOTE 4T.ES & A3URACY 9 ID5TIFY+ P 0G5D] & "N1 R1D+ LOCK] NUMB]S1 ROOM NUMB]S1 & T1*] "NS AT CLASS 5TR.ES4 ,OBS]VE ! /UD5T'S ABILITIES 9 TRAVEL+ UP & D[N /AIRS & :E!R OR B#BF N ! /UD5T AVOIDS BUMP+ 96OBJECTS4 ,\TDOOR OBS]V,NS %D 9CLUDE ID5TIFIC,N & DESCRIP;N ( S* OBJECTS Z C>S1 TREES1 LI1S ) DI6]5T 3TRA/+ SURFACES4 ,OBS]VE ! /UD5T DUR+ PHYSICAL $UC,N4 ,9T]VIEW ! PHYSICAL $UC,N T1*] & NOTE 3C]NS ON ! PROTOCOL4 ,X IS HELP;L 6ID5TIFY ! TYPES ( GAMES & ACTIVITIES ! /UD5T W 2 "PICIPAT+ 9 DUR+ ! S*OOL YE> S ! ,,TVI C MAKE RECOMM5D,NS = APPROPRIATE MODIFIC,NS & A3OMMOD,NS4 -------------------------------------#BG ,ORI5T,N & ,MOBIL;Y ,SCRE5+ ,/UD5T ,DATE #A4 ,9DOOR ,OBS]V,NS3 #CG 777777777777777777777777777777777 A#BG ,4T.E & ,SKILLS ,OBS]V,NS "333333333333333333 "333333 "33333333 ,ID5TIFIES P 0"N_/G5D]8 YES_/NO """"""""" ,AVOIDS OBJECTS ABV & 2L ! WAI/8 YES_/NO """"""""" ,AVOIDS OBJECTS ON EI SIDE8 YES_/NO """"""""" ,AVOIDS DOOR FRAMES_/P8 YES_/NO """"""""" ,LOCATES DROPP$ OBJECTS8 YES_/NO """"""""" ,LOCATES & A3ESSES LOCK]8 YES_/NO """"""""" ,LOCATES ROOMS 0NUMB]S OR "NS8 YES_/NO """"""""" ,TRAVELS 9DEP5D5TLY ON /AIRS8 YES_/NO """"""""" ,TRAVELS 9DEP5D5TLY 9 S*OOL8 YES_/NO """"""""" GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG #B4 ,\TDOOR ,OBS]V,NS3 777777777777777777777777777777777 B#BG ,4T.E & ,SKILLS ,OBS]V,NS "333333333333333333 "333333 "33333333 ,ID5TIFIES C>S_/ TREES_/DUMP/]S8 YES_/NO ,ID5TIFIES F;E_/%RUBS_/LI.D S*OOL8 YES_/NO GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG -------------------------------------#BH #C4 ,CAT*ES A #F-9*1 B"RLY-COLOR$ BALL ?R[N F ---- FEET AWAY8 YES_/NO ,DESCRIBE PRO#MS1 9CLUD+ ^? ) GROSS MOTOR SKILLS & 3TRA/4 7#G BLANK L9ES7 #D4 ,KICKS A #F-9*1 B"RLY-COLOR$ BALL ROLL$ F ---- FEET AWAY8 YES_/NO ,DESCRIBE PRO#MS1 9CLUD+ ^? ) #CI GROSS MOTOR SKILLS & 3TRA/4 A#BH 7#G BLANK L9ES7 #E4 ,IF ! P>5T1 T1*]1 OR /UD5T 9DICAT$ PRO#MS DUR+ ! 9T]VIEW1 OBS]VE ! /UD5T TRAVEL+ 9 ! SETT+S ( 3C]N 7E4G41 CAFET]IA1 >RIVAL_/4MISSAL1 GETT+ ON_/(F ! BUS74 ---- ,DESCRIBE PRO#MS4 7#F BLANK L9ES7 #F4 ,DESCRIBE O!R PRO#MS OBS]V$ OR REPORT$1 9CLUD+ DEP? P]CEP;N1 /AIRS1 3TRA/ 2T SURFACES1 ETC4 7#H BLANK L9ES7 -------------------------------------#BI ,PHYSICAL ,$UC,N ,OBS]V,N #A4 ,DESCRIBE PHYSICAL & VISUAL 2HAVIORS OBS]V$ DUR+ PHYSICAL $UC,N CLASS4 7#AJ BLANK L9ES7 #B4 ,9T]VIEW ,P4,E4 T1*] & SUMM>IZE FE$BACK REG>D+ /UD5T'S P]=M.E 9 CLASS4 7#AA BLANK L9ES7 #C4 ,DESCRIBE OR LI/ G5]AL TYPES ( ,P4,E4 ACTIVITIES PLANN$ =! YE>3 7#AA BLANK L9ES7 ,TYPICAL ,RESPONSE ,EXAMPLES #CJ TRAVELS SAFELY 9 ! 5VIRON;T AVOIDS BUMP+ 96OBJECTS 9 ALL >1S ( P]IPH]AL FIELD CAT*ES & KICKS BALLS 7APPROPRIATE = AGE & SKILL LEVEL7 TRAVELS SAFELY ON /AIRS 4T+UI%ES *ANGES 9 SURFACE ELEV,NS & TEXTURES EXHIBITS AGE-APPROPRIATE SKILLS 9 PHYSICAL $UC,N ,ATYPICAL ,RESPONSE ,EXAMPLES (T5 BUMPS 96OBJECTS EXHIBITS FE> &_/OR REFUSES 6TRAVEL 9 UNFAMILI> 5VIRON;T DI6ICULTY OR 9ABIL;Y 6CAT* &_/OR KICK BALLS DI6ICULTY MANEUV]+ /AIRS & DETECT+ SURFACE ELEV,NS & TEXTURES DI6ICULTY "PICIPAT+ 9 PHYSICAL $UC,N ACTIVITIES ,NOTE3 ,USE CAU;N 9 9T]PRET+ ATYPICAL RESPONSES & ATTRIBUT+ DEFICITS TO #DA 8IMPAIR$ VI.N0 ) /UD5TS :O H A#CJ MOTOR DELAYS4 ,EXAMPLES ( ,FUNC;NAL ,PRO#MS DI6ICULTY ) EYE-H& COORD9,N SKILLS DI6ICULTY ) EYE-FOOT COORD9,N SKILLS DI6ICULTY ) TRAVEL SKILLS MISJUDGES 4T.ES & BUMPS 96?+S NE$S 9CR1S$ SCANN+ "T1 ETC4 6-P5SATE REQUIRES MODIFIC,NS & A3OMMOD,NS 6"PICIPATE 9 PHYSICAL $UC,N ,$UC,NAL ,IMPLIC,NS ,! /UD5T :O IS VISU,Y IMPAIR$ MAY REQUIRE SPECIAL 9/RUC;N 9 >1S ( ORI5T,N & MOBIL;Y S* Z PROTECTIVE TE*NIQUES1 TRAIL+1 SE>* TE*NIQUES1 & SAFETY TE*NIQUES = /AIRS4 ,OBS]V,NS MAY REV1L ! NE$ =A ?OR\< EVALU,N 0AN ORI5T,N & MOBIL;Y SPECIALI/4 ,! /UD5T MAY AL REQUIRE MODIFIC,NS & A3OMMOD,NS ( EQUIP;T1 9/RUC;NAL /RATEGIES1 & ACTIVITIES 9 PHYSICAL $UC,N4 ,EXAMPLES ( $UC,NAL IMPLIC,NS = ,,O@&M & PHYSICAL $UC,N >E LI/$ 2L4 ..,ORI5T,N & ,MOBIL;Y .,SCRE5+ #CA 79DICATES GROSS MOTOR P]=M.E1 TRAVEL SKILLS1 & NE$ = ASSESS;T 0AN ,,O@&M SPECIALI/7 7#E BLANK L9ES7 ,RE9=CE PROTECTIVE TE*NIQUE ,RE9=CE TRAIL+ TE*NIQUE ,REF] = ,,O@&M EVALU,N ,USE BU4Y SY/EM = SPECIAL ACTIVITIES_/TRIPS ,RECOMM5D L[ VI.N EVALU,N ,MAY REQUIRE 9CR1S$ "T 6TRAVEL SAFELY ,DEVELOP EYE_/H& COORD9,N SKILLS ,DEVELOP RELATIVE 4T.E RECOGNI;N SKILLS ,O!R ,RE9=CE SE>* TE*NIQUES ,RE9=CE SIIZE /UD5T ) NEW 5VIRON;TS ,T1* SAFETY TE*NIQUES = /AIRS ,T1* ATT5;N 6VISUAL-MOTOR TASKS ,3SULT ) ,P4,E4 T1*] ,DEVELOP EYE_/FOOT COORD9,N SKILLS ,O!R #DC .,PHYSICAL .,$UC,N .,OBS]V,N A#CA 79DICATES NE$ = ADAPT$ TE*NIQUES7 7#AF BLANK L9ES7 -------------------------------------#CB ,USE BU4Y SY/EM = RUNN+ ,H PE]S CALL BASES 9 BALLGAMES ,PREF]5TIAL POSI;N+ = DEMON/R,NS ,3SULT RE3 PHYSICAL RE/RIC;NS ,3SULT RE3 MODIFIC,NS ( ,P4,E4 ACTIVITIES ,PRACTICE 69CR1SE VISUAL-MOTOR SKILLS ,O!R ---- ,USE CAU;N ) BALLS ,ADAPT GAMES ) BALLS ,GIVE DIREC;NS RELAT$ 6/UD5T'S BODY ,ADAPT$ PHYSICAL $UC,N ,T1* ATT5;N 6VISUAL-MOTOR TASKS ,O!R ---- ,O!R ---- -------------------------------------#CC ,FUNC;NAL ,VI.N ,ASSESS;T ,APPE>.E ( ,EYES ,BACKGR.D ,9=M,N ,! PHYSICAL APPE>.E & 2HAVIORS (! /UD5T'S EYES %D 2 OBS]V$ & NOT$4 A#CC ,ATYPICAL PHYSICAL APPE>.E C A6ECT ! /UD5T SOCI,Y & MAY 9DICATE A NE$ = C\NSEL+1 TRA9+1 OR M$ICAL TR1T;T4 ,EYE DOCTORS G5],Y OBS]VE APPE>.E1 EYE RESPONSES & MOVE;TS2 H["E1 ^! OBS]V,NS &_/OR DIAGNOSES MAY N 2 NOT$ ON ! EYE REPORT =M4 ,P>5TS & T1*]S MAY H "QS AB IRREGUL>ITIES (! APPE>.E & MOVE;TS ( EYES2 "!=E1 X IS IMPORTANT =! ,,TVI 6OBS]VE ! /UD5T'S EYES & EYE MOVE;TS 9 ORD] 6(F] POSSI# EXPLAN,NS REG>D+ IRREGUL>ITIES4 ,CLASSROOM T1*]S DEP5D ON ! ,,TVI 6EXPLA9 & PROVIDE 9=M,N AB ! /UD5T'S EYES4 ,! ,,TVI %D DOCU;T OBS]V,NS1 B %D AVOID /AT+ A DIAGNOSIS N PROVID$ 0! DOCTOR1 E4G41 8EYES APPE> 6TURN \TW>D0 9/1D ( 8/UD5T HAS EXOTROPIA40 ,"S EYE 3DI;NS >E S SEV]E T DOCTORS MAY N M5;N LESS SIGNIFICANT 3DI;NS S* Z /RABISMUS1 2C "! IS LL OR NO IMPACT ON ! 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BOTTOM LID EYES >E DIRECT$ /RAIE CLE> & TRANSP>5T IRIDES & PUPILS >E CIRCUL> & EQUAL 9 SIZE PUPILS APPE> BLACK #DG ,ATYPICAL ,APPE>.E ,EXAMPLES A#CD EYES APPE> 6BE REDUC$ 9 SIZE 7MICROPH?ALMOS7 EYES APPE> 6BE 5L>G$ 7BUPH?ALMOS7 "O OR BO? EYES >E -PLETELY MISS+ 7ANOPH?ALMOS7 EYELIDS >E R$1 CRU/$1 DROOPY1 D N CLOSE -PLETELY1 OR MAY EXHIBIT EXCESSIVE BL9K+ EYELA%ES APPE> 6GR[ ]RATIC,Y & TURN 9W>D CORN1S APPE> SC>R$ OR CL\DY IRIDES &_/OR PUPILS >E %AP$ IRREGUL>LY PUPIL7S7 APPE> :ITI% "O OR BO? EYES APPE> 6TURN 9W>D 7ESOTROPIA71 \TW>D 7EXOTROPIA71 UPW>D 7HYP]TROPIA71 OR D[NW>D 7HYPOTROPIA7 J]KY EYES 7NY/AGMUS7 (F-C5T] FIX,N 7E35TRIC FIX,N7 EYES MAY 2 R$1 WAT]Y1 OR H A PUS-L 4*>GE ,EXAMPLES ( ,FUNC;NAL ,PRO#MS SELF-3SCI\S AB APPE>.E DI6ICULTY ) SOCIAL REL,N%IPS ISOL,N F PE]S PHYSICAL PA9 & 4COM=T 7E4G41 EYELA%ES TURN 9W>D7 B#CD -------------------------------------#CE ,$UC,NAL ,IMPLIC,NS ,IF A /UD5T HAS AN EYE 3DI;N T HAS CAUS$ FACIAL 4FIGURE;T OR ABNORMAL APPE>.E (! 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CLASSROOM1 DUR+ ! /UD5T 9T]VIEW1 & DUR+ DIRECT ASSESS;T ( VISUAL FUNC;NS4 ,OBS]V,NS ( ABNORMALITIES MAY AL 2 REPORT$ 0! CLASSROOM T1*]7S7 &_/OR P>5TS4 ,DOCU;T ALL OBS]V$_/REPORT$ 2HAVIORAL ABNORMALITIES4 ,! ,,FVLMA PROTOCOL = ,2HAVIORAL ,ABNORMALITIES >E 9CLUD$ 2L4 A#CF #B4 ,2HAVIORAL ,ABNORMALITIES A4 ,*ECK ABNORMALITIES OBS]V$ OR REPORT$4 ,LIN+ FUR!R 4FIGURE;T ( EYES &_/OR FACE ,$UC,NAL ,IMPLIC,NS ,! /UD5T :O IS VISU,Y IMPAIR$ %D 2 PROVID$ ) M1N+;L $UC,NAL ACTIVITIES & EXP]I;ES : C HELP PREV5T OR DECR1SE ABNORMAL 2HAVIORS4 ,M APPROPRIATE 2HAVIORS C 2 TAUE N SOCI,Y A3EPTA#4 ,Z ! /UD5T GR[S OLD] & "U/&S SOCI,Y A3EPT$ 2HAVIORS1 C\NSEL+ MAY 2 E6ECTIVE4 ,EXAMPLES ( IMPLIC,NS = ,2HAVIORAL ,ABNORMALITIES F ! ,,FVLMA ,REPORT =M >E LI/$ 2L4 .,2HAVIORAL .,ABNORMALITIES 7CAUSES SOCIAL /IGMA & IMP$ES LE>N+7 7#C BLANK L9ES7 ,3SULT RE3 SOCIAL IMPLIC,NS A#CG ,PROVIDE SOCIAL SKILLS TRA9+ ,TRA9 APPROPRIATE 2HAVIORS ,O!R ---- -------------------------------------#CH ,VISUAL ,RESPONSES 6,LIN+ M$IA ASSESS;TS Z POSSI#4 .,IF ! /UD5T ONLY RESPONDS 6LI1S (! ,FUNC;NAL ,VI.N ,ASSESS;T & W N NE$ 6-PLETE ? SEC;N4 ,! CUMULATIVE FOLD] REVIEW1 ALL 9T]VIEWS1 ALL OBS]V,NS1 & APPROPRIATE LE>N+ M$IA ASSESS;T ACTIVITIES %D 2 -PLET$ = ,,ALL /UD5TS4 ,USE CAU;N 9 ACTIVITIES 9VOLV+ ! P5LIN+ ,M$IA ,ASSESS;T 9 ! ,,FVLMA & 6AN ASSESS;T (! ,EXP&$ ,CORE ,CURRICULUM4 ,ASSESS;T ( CORE ACADEMIC SKILLS MAY AL 2 NE$$4 ,MAT]IALS ,NE$$ P5LI 4T.ES UP 6>M'S L5G? AWAY4 ,MOVE ! P5LIY+ >1S (! #EE VISUAL FIELD & ASK ! /UD5T 6PO9T A#CI 6X EA* "T4 ,IF NE$$1 %AKE ! LI1S (! .NE> VISUAL FIELD3 YES_/NO ---- ,SPECIFY 4T.E7S71 FIELD LOC,N7S71 -;TS1 & VISUAL 2HAVIORS4 7#D BLANK L9ES7 B4 ,C TELL_/PO9T 6LOC,N ( 5VIRON;TAL LIE ON_/(F 9 A ROOM8 YES_/NO 7#E BLANK L9ES7 D4 ,DESCRIBE -;TS & VISUAL 2HAVIORS4 7#H BLANK L9ES7 ,NOTE3 ,IF ! /UD5T EXHIBIT$ LL 6NO RESPONSE 6LIY LE>N+ M$IUM W 2 TACTILE &_/OR AUDITORY4 ,-PLETE APPROPRIATE SEC;NS (! ,LE>N+ ,M$IA ,ASSESS;T (! ,,FVLMA & AN ASSESS;T ( ,EXP&$ ,CORE ,CURRICULUM SKILLS4 -------------------------------------#DA ,VISUAL ,RESPONSE 6,OBJECTS ,BACKGR.D ,9=M,N ,MO/ /UD5TS :O >E SEV]ELY VISU,Y IMPAIR$ C DETECT OBJECTS & LI OBJECT DETEC;N1 HOLD AN 9FLAT$ BALLOON 9 FRONT (! /UD5T AT 4T.ES UP 6>M'S L5G? AWAY4 ,ASK ! /UD5T 6PO9T 6! BALLOON4 ,MOVE ! BALLOON 9 V>Y+ >1S (! VISUAL FIELD & ASK ! /UD5T 6PO9T 6X EA* "T4 ,OBS]VE IF & ": ! /UD5T VISU,Y RESPONDS 6! BALLOON4 ,IF ! /UD5T IS UNA# 6DETECT ! F/ BALLOON1 PRES5T BALLOONS ( V>Y+ SIZES ( 9FL,N & COLORS 6DET]M9E IF EI ( ^! V>IA#S IMPROVE DETEC;N4 ,SPECIFY SIZE1 COLOR1 4T.E1 & FIELD LOC,N NE$$ 6OBTA9 A VISUAL RESPONSE ON ! PROTOCOL4 ,WALK )! /UD5T 9 ! CLASSROOM & 9 & >.D ! S*OOL BUILD+4 ,ASK ! /UD5T 6"N &_/OR PO9T 6OBJECTS4 ,DOCU;T OBS]V,NS ON ! PROTOCOL4 #D4 ,VISUAL ,RESPONSE 6,OBJECTS A4 ,VISU,Y DETECTS & PO9TS 6COLOR$ BALLOON7S7 UP 6>MS L5G? AWAY 9 DI6]5T >1S (! VISUAL FIELD3 ,SPECIFY SIZE1 COLOR7S71 B#DA 4T.E7S71 FIELD LOC,N7S71 & VISUAL 2HAVIORS4 YES_/NO 7#C BLANK L9ES7 B4 ,C "N &_/OR PO9T 6OBJECTS 9 ! CLASSROOM & S*OOL BUILD+8 YES_/NO ,LI/ SMALLE/ OBJECTS ID5TIFI$1 SIZE1 & 4T.E OBS]V$4 7#C BLANK L9ES7 C4 ,C "N &_/OR PO9T 6OBJECTS \TSIDE8 YES_/NO ---- ,LI/ SMALLE/ OBJECTS ID5TIFI$1 SIZE1 & 4T.E OBS]V$4 7#C BLANK L9ES7 -------------------------------------#DB D4 ,DESCRIBE -;TS & VISUAL 2HAVIORS4 7#C BLANK L9ES7 ,NOTE3 ,IF ! /UD5T VISU,Y RESPOND$ 6! BALLOON7S7 OR 6OBJECTS 9 ! 5VIRON;T1 !N 3T9UE ASSESS+ O!R >1S (! ,,FVLMA Z APPROPRIATE4 ,IF ! /UD5T DOES N VISU,Y RESPOND 6BALLOON7S7 OR OBJECTS 9 ! 5VIRON;T1 -PLETE APPROPRIATE SEC;NS (! ,,FVLMA & AN ASSESS;T (! ,EXP&$ ,CORE ,CURRICULUM4 #EI ,TYPICAL ,RESPONSE ,EXAMPLES A#DB VISU,Y DETECTS & ID5TIFIES OBJECTS 9 V>I\S >1S (! VISUAL FIELD AT NE> & 4TANT PO9TS VISU,Y ATT5DS 6A P5LII\S >1S (! VISUAL FIELD AT NE> & 4TANT PO9TS4 ,ATYPICAL ,RESPONSE ,EXAMPLES 9CONSI/5T DETEC;N ( OBJECTS NO DETEC;N ( OBJECTS 9CONSI/5T ID5TIFIC,N ( OBJECTS MISID5TIFIC,N ( OBJECTS DETEC;N_/ID5TIFIC,N ( OBJECTS ( C]TA9 SIZES DETEC;N_/ID5TIFIC,N ( C]TA9 COLORS DETEC;N_/ID5TIFIC,N 9 C]TA9 VISUAL FIELDS1 B N 9 O!RS 9CONSI/5T RESPONSE 6LI LIN "? VISUAL *ANNEL ,$UC,NAL ,IMPLIC,NS ,/UD5TS :O >E UNA# 6OR H GRT DI6ICULTY LOCAT+1 ATT5D+1 & ID5TIFY+ OBJECTS OR LIY LE>N+ MODE & M/ LE>N "? ! USE ( _! REMA9+ S5SES4 ,!Y >E 3SID]$ 6BE FUNC;N,Y BL4 ,-P5SATORY SKILLS1 S* Z BRL & LI/5+1 M/ 2 TAU* PATT]NS = LOCAT+ OBJECTS4 ,9 A4I;N 6DIRECT 9/RUC;N ( ,,ECC SKILLS1 ! ,,TVI M/ 3SULT_/COLLABORATE ) CLASSROOM T1*]S1 ,P4,E4 T1*]S1 & O!RS 6PROVIDE 9=M,N & ADAPT$ MAT]IALS S ^! /UD5TS ) SEV]E VISUAL IMPAIR;TS C "PICIPATE 9 ! G5]AL $UC,N CURRICULUM4 ,"! >E _M $UC,NAL IMPLIC,NS T M/ 2 IMPLE;T$ = ^! /UD5TS4 ,IF ! /UD5T IS FUNC;N,Y BL1 ! ,,TVI %D REVIEW ,,ALL $UC,NAL IMPLIC,NS ON ! ,,FVLMA ,REPORT =M1 EV5 ?\< ALL SEC;NS (! ,,FVLMA 7 N ASSESS$1 & 9DICATE ! $UC,NAL IMPLIC,NS APPROPRIATE = EA* /UD5T4 ..,VISUAL ,RESPONSES 6,OBJECTS & .,LIN+ M$IA ,TACTILE A3OMMOD,NS_/MODIFIC,NS ,ASSESS_/T1* ,,ECC SKILLS Z NE$$ ,ASSESS_/T1* BRL R1D+ SKILLS ,C\NSEL_/3SULT RE3 -P5SATORY B#DC SKILLS ,T1* -P5SATORY SKILLS Z NE$$ ,O!R ---- ,V]BAL 9/RUC;NS_/DIREC;NS ,V]BAL 9/RUC;NS_/DIRECT ,V]BAL 9/RUC;NS_/DIRECT ,REF] = ,,O@&M EVALU,N_/S]VICES ,REF] = ASSI/IVE TE*4 EVALU,N ,O!R ---- ,O!R ---- -------------------------------------#DD ,P]IPH]AL ,FIELDS ,BACKGR.D ,9=M,N ,P]IPH]AL FIELD ( VI.N REF]S 6! VISUAL FIELD >.D ! C5T] ( GAZE4 ,A NORMAL P]IPH]AL FIELD 5A#S A /UD5T 6SEE 9 ALL >1S (! VISUAL FIELD4 ,/UD5TS MAY H A LOSS ( VI.N ON ! LEFT SIDE1 "R SIDE1 UPP] FIELD1 OR L[] FIELD1 OR ANY -B9,N ( ^! >1S4 ,EYE 41SES OR 3DI;NS C CAUSE FIELD LIMIT,NS 9 A V>IETY ( WAYS3 3/RICT$ P]IPH]AL FIELD 7E4G41 RET9ITIS PIG;TOSA71 LOSS ( 5TIRE "PS (! #FC FIELDS 7E4G41 HEMIANOPSIA71 A#DD P]IPH]AL FIELD 4TOR;N 7E4G41 ?ICK L5SES 9 GLASSES71 BL SPOTS 7SCOTOMAS71 & MONOCUL> VI.N4 ,! EYE DOCTOR %D 9DICATE FIELD LOSSES ON ! EYE REPORT4 ,EXAMPLES ( TE/+ TE*NIQUES US$ 0! DOCTOR MAY 9CLUDE3 TANG5T SCRE51 ,GOLDMAN P]IMET]1 & -PUT]IZ$ AUTOMAT$ P]IMET]S4 ,! ,AMSL] GRID MAY 2 US$ 6ASSESS ! C5TRAL FIELD ( #BJ DEGREES4 ,CLASSROOM T1*]S1 P>5TS &! /UD5T MAY PROVIDE HELP;L 9=M,N REG>D+ PRO#MS ) P]IPH]AL FIELD DUR+ 9T]VIEWS4 ,A4I;NAL 9=M,N C 2 NOT$ DUR+ OBS]V,NS (! /UD5T :ILE TRAVEL+ 9 V>I\S SETT+S 9 & >.D ! S*OOL4 ,MAT]IALS ,NE$$ FURNI%$ CLASSROOM ,ASSESS;T ,PROC$URES ,6OBS]VE FUNC;NAL P]IPH]AL FIELD1 3DUCT ! OBS]V,NS 9 A FURNI%$ ROOM4 ,H ! /UD5T /& AT "O 5D (! ROOM & FIXATE ON AN OBJECT OR AN ADULT 9 FRONT (& VISI# 6! /UD5T AT EYE LEVEL ACR ! ROOM4 B#DD 7,/UD5TS ) REDUC$ ACU;Y W NE$ 6BE CLOS] 6! SPECIFI$ OBJECT ( FIX,N47 ,! /UD5T %D 2 ASSESS$ :ILE WE>+ PRESCRIB$ GLASSES OR FILT]S4 ,ASK ! /UD5T 6"N OR PO9T 6ITEMS SE5 9 ALL >1S (! P]IPH]Y 7LEFT1 "R1 UPP]1 & L[] FIELDS71 :ILE FIXAT+ ON ! SPECIFI$ OBJECT4 ,/UD5TS ) SEV]E VISUAL IMPAIR;TS MAY N 2 A# 64T+UI% OBJECTS 9 ORD] 6ID5TIFY !M1 B RECOGNI;N (! PRES;E ( AN OBJECT %D 2 DOCU;T$4 ,NOTE ITEMS REPORT$ 0! /UD5T &! APPROXIMATE LOC,NS ON ! GRID PROVID$ ON ! ,,FVLMA PROTOCOL4 ,IF ! ,,TVI NE$S 6/& OR SIT 2S ! /UD5T 9 ORD] 6H PROP] P]SPECTIVE = RECORD+ ! RESPONSES1 A SECOND ADULT MAY 2 NE$$ 6MA9TA9 ! /UD5T'S FIX,N DUR+ ! ACTIV;Y4 ,! ,,TVI MAY NE$ 6"N OBJECTS & ASK "Y /UD5TS 6PO9T 6OBJECTS "ND4 ,! ,,FVLMA PROTOCOL = ,P]IPH]AL ,FIELDS IS 2L4 -------------------------------------#DE #E4 ,P]IPH]AL ,FIELDS A4 ,H /UD5T ID5TIFY OR PO9T 6ITEMS 9 ! ROOM :ILE EYES >E FIXAT$ ON ! EXAM9] OR A SPECIFI$ OBJECT #FE ACR ! ROOM AT EYE LEVEL4 A#DE ,NOTE ITEMS REPORT$ 0/UD5T 9 ! APPROXIMATE LOC,NS ON ! GRID 2L &! APPROXIMATE 4T.E 6!M4 ,UPP] LEFT ,UPP] C5TRAL ,UPP] "R ,C5TRAL LEFT ,C5TRAL """" ,C5TRAL "R ,L[] LEFT ,L[] C5TRAL ,L[] "R B4 ,NOTE ITEMS & >1S 9 ! 5VIRON;T 6: ! /UD5T DID N RESPOND4 7#C BLANK L9ES7 C4 ,C /UD5T 5T] A ROOM & LOCATE AN EMPTY S1T8 YES_/NO ---- D4 ,DESCRIBE 3C]NS NOT$ DUR+ ! ,,O@&M SCRE5+1 DEP? P]CEP;N OBS]V,NS1 & 9T]VIEWS4 7#C BLANK L9ES7 ,TYPICAL ,RESPONSE ,EXAMPLES ID5TIFIES_/PO9TS 6ITEMS 9 ALL >1S (! VISUAL FIELD ,NORMAL VISUAL FIELDS >E3 #AHJ DEGREES TOTAL FIELD ( VI.N F SIDE 6SIDE 7HORIZONT,Y7 US+ BO? EYES1 ) #AEJ DEGREES FIELD ( VI.N 9 EA* EYE B#DE 9DIVIDU,Y 7#IJ DEGREES TEMPOR,Y & #FJ DEGREES NAS,Y74 ,UPP] & L[] FIELDS >E #ABJ DEGREES TOTAL FIELD ( VI.N 7V]TIC,Y7 9 EA* EYE1 ) #EJ DEGREES 9 ! UPP] FIELD & #GJ DEGREES 9 ! L[] FIELD 7,JOSE1 #AIHE74 -------------------------------------#DF ,ATYPICAL ,RESPONSE ,EXAMPLES UNA# 6ID5TIFY_/PO9T 6ITEMS 9 ! LEFT1 "R1 UPP]1 &_/OR L[] FIELDS 9CONSI/5T ID5TIFIC,N_/LOC,N ( OBJECTS 9 P]IPH]Y ,EXAMPLES ( ,FUNC;NAL ,PRO#MS DI6ICULTY ) MOBIL;Y & TRAVEL+ SAFELY 9 ! 5VIRON;T ATYPICAL VISUAL 2HAVIORS S* Z FREQU5T EYE & H1D MOVE;TS DI6ICULTY SCANN+ DI6ICULTY LOCAT+ OBJECTS ,$UC,NAL ,IMPLIC,NS ,! P]IPH]AL FIELD A6ECTS ! AM.T ( VISUAL 9=M,N OBTA9$ F ! 5VIRON;T : #FG C RESULT 9 MISJUDG;TS & RE/RIC;NS A#DF ( MOVE;T4 7#D BLANK L9ES7 ,EXAMPLES ( IMPLIC,NS = ,P]IPH]AL ,FIELDS F ! ,,FVLMA ,REPORT =M >E LI/$ 2L4 .,P]IPH]AL .,FIELDS 7A6ECTS AM.T ( VISUAL 9=M,N OBTA9$ : C RESULT 9 MISJUDG;TS & RE/RIC;NS ( MOVE;T7 7#D BLANK L9ES7 ,S1T 6LEFT_/C5T]_/"R SIDE ( ROOM ,CAU;N ) FA/ MOV+ BALLS_/OBJECTS ,3SULT RE3 FIELD RE/RIC;N ,TURN H1D :5 LOOK+ P]IPH],Y ,O!R ---- ,TRA9 6SCAN 5VIRON;T ,RECOMM5D L[ VI.N EVALU,N ,REF] = ,,O@&M EVALU,N_/S]VICES ,3SULT RE3 ATYPICAL GAIT ,O!R ---- -------------------------------------#DG ,COLOR & ,3TRA/ ,4CRIM9,N ,BACKGR.D ,9=M,N ,COLOR VI.N IS ! ABIL;Y 64CRIM9ATE LIKE;SES & DI6];ES 9 COLORS4 ,/UD5TS ) "PIAL COLOR IMPAIR;T EXHIBIT A#DG DI6ICULTY ) COLOR 4CRIM9,N & MAY MISMAT* COLORS4 ,/UD5TS :O >E TOT,Y COLOR BL SEE ! _W 9 %ADES ( GRAY4 ,PRO#MS ) COLOR 4CRIM9,N MAY 2 CAUS$ 0G5ETIC 4ORD]S OR 41SES A6ECT+ ! C"OS 9 ! RET9A : AL RESULT 9 L[ VI.N4 ,IMPAIR;TS 9 COLOR VI.N C 2 9COMPLETE 7DYS*ROMATOPSIA7 OR -PLETE 7A*ROMATOPSIA74 ,H]$IT>Y 3G5ITAL COLOR DEFECTS >E ALM ALW R$-GRE51 A6ECT+ AB #H@3P (! MALE POPUL,N & #J.E P]C5T (! FEMALE POPUL,N4 ,^! /UD5TS >E / A# 6SEE BLUE & YELL[4 ,ACQUIR$ COLOR VI.N DEFICITS >E M (! BLUE-YELL[ V>IETY & A6ECT MALES & FEMALES EQU,Y 7,RIORDAN-,EVA & ,:IT*]1 #BJJD74 ,^! /UD5TS C TYPIC,Y SEE R$4 ,COLOR VI.N DEFICITS %D 2 9DICAT$ ON ! EYE REPORT 0! EYE DOCTOR4 ,USE ( ,PSEUDOISO*ROMATIC PLATES1 S* Z ! ,TE/ = ,COLOR ,BL;S 0,I%IH>A 7UNDAT$71 IS A -MON TE*NIQUE = TE/+ COLOR VI.N4 ,CLASSROOM T1*]S1 P>5TS &! /UD5T MAY PROVIDE HELP;L 9=M,N DUR+ 9T]VIEWS & ON "QNAIRES 9DICAT+ DI6ICULTIES ) #FI COLOR 4CRIM9,N4 B#DG ,MAT]IALS ,NE$$ :ITE PAP] BROAD-TIPP$ COLOR$ M>K]S 7R$1 BLUE1 GRE51 ORANGE1 YELL[1 PURPLE1 BR[N1 BLACK7 PA9T C>D SAMPLES ) V>Y+ %ADES ( ABV COLORS ,NOTE3 ! ,,TVI W NE$ 6CUT ! PA9T C>D SAMPLES1 SELECT+ ! D>KE/ %ADE1 M$IUM %ADE1 & LIK]S4 ,H ! /UD5T MAT* ! COLORS 0DRAW+ A L9E (! SAME COLOR "? ! DOTS OR L9ES4 ,! ,,TVI MAY NE$ 6REDUCE ! NUMB] ( COLOR *OICES PRES5T$ AT "O "T &_/OR H ! /UD5T PLACE COLOR$ OBJECTS 9 SAME COLOR$ B[LS ) V "Y /UD5TS4 ,6ASSESS GROSS 4CRIM9,N ( 3TRA/ C#DG 9 COLOR %ADES1 PLACE A D>K1 A M$IUM &A LID ( "O COLOR ON A TA# 9 FRONT (! /UD5T4 ,PRES5T ! /UD5T )A V>IETY ( COLOR$ C>DS ) D>K1 M$IUM & LIK %ADES1 ALL ! M$IUM %ADES1 & ALL ! LIK]S & COLOR$ "O-9* DOTS OR BOLD L9ES DRAWN ON PAP]3 R$ BLUE YELL[ GRE5 ORANGE PURPLE BLACK BR[N ---- #GA ---- A#DH B4 ,RANKS &_/OR MAT*ES LIK %ADES US+ PA9T C>D SAMPLES8 YES_/NO 7#D BLANK L9ES7 ,TYPICAL ,RESPONSE ,EXAMPLES MAT*ES COLORS RANKS OR MAT*ES %ADES ( COLORS ,ATYPICAL ,RESPONSE ,EXAMPLES UNA# 6MAT* COLORS C MAT* "S COLORS1 B N O!RS UNA# 6RANK OR MAT* %ADES ( COLORS MAT*ES B"R1 3TRA/+ COLORS B HAS DI6ICULTY ) LIE AN IMPORTANT "P (! 5VIRON;T & T1*]S 3T9U,Y USE REF];ES 6COLOR & DIREC;NS 9VOLV+ COLOR4 ,EXAMPLES ( IMPLIC,NS = ,COLOR ,4CRIM9,N F ! ,,FVLMA REPORT =M >E LI/$ 2L4 ..,COLOR & ,3TRA/ .,4CRIM9,N 7A6ECTS ABIL;Y 64T+UI% LIKE;SES & DI6];ES 9 COLORS7 7#F BLANK L9ES7 -------------------------------------#DI ,USE BLACK M>K] = TRANSP>5CIES ,ADAPT MAPS ) SYMBOLS ,USE BU4Y SY/EM ) MAPS ,GRADE PAP]S ) BLACK P5 ,P]CVS COLORS BE/ 9 B"R LIE] ,3SULT COLOR-COD$ DIREC;NS ,T1* ME?OD 6MAT* CLO?+ ,O!R ---- ,O!R ---- #GC ,LIE (T5 9DICAT$ 0! EYE DOCTOR ON ! EYE REPORT4 ,CLASSROOM T1*]S & P>5TS MAY PROVIDE HELP;L 9=M,N DUR+ 9T]VIEWS4 ,MAT]IALS ,NE$$ LAMP ) W>M :ITE BULB OR TUBE 7AVOID FULL-SPECTRUM & 8COOL0 :ITE LII\S LI.D ! S*OOL & :5 TRAVEL+ 9 & \ (! S*OOL BUILD+4 ,9T]VIEW ! /UD5T & OBS]VE RESPONSES TO3 A#EJ 9CR1S$ LI A W9D[71 DECR1S$ LIREL 6BLOCK LIE3 A#EA MILDLY_/MOD]ATELY_/ HII\S LIE ,ATYPICAL ,RESPONSE ,EXAMPLES SQU9TS EYES EXCESSIVELY 9 B"R LIEA ) LESS LIE DECR1S$ VISUAL E6ICI5CY 9 DIM OR B"R LIRANGE CLASSROOMS 6AVOID S1TS T FACE W9D[S2 %ADES %D 2 AVAILA# 63TROL SUNLIE4 ,"S /UD5TS MAY REQUIRE "T = _! EYES 6ADAPT 6*ANGES 9 LIE \TSIDE 2C ( EXTREME S5SITIV;Y 6LIE LI/$ 2L4 ..,LIRANGE = MAXIMUM 3TRA/ ,O!R ---- ,AVOID OR 3TROL GL>E ,REQUIRES SUNGLASSES &_/OR VISOR ,S1T AWAY F_/NE> W9D[ ,AVOID S1T FAC+ W9D[ ,MAY B5EFIT F A DESK LAMP ,PROVIDE COPY ( OV]H1D ,O!R ---- -------------------------------------#EC ,DEVELOP;TAL ,VISUAL ,P]CEP;N ,SCRE5+ ,BACKGR.D ,9=M,N ,VISUAL P]CEP;N C 2 DEF9$ Z ! ABIL;Y 69T]PRET OR GIVE M1N+ 6:AT IS SE54 ,X IS DEVELOP;TAL 9 NATURE & IS CLOSELY TI$ 6COGNI;N4 ,! EYEBALL &! OPTIC A#EC N]VE RCV & TRANSMIT VISUAL IMAGES2 ! BRA9 9T]PRETS ! 9=M,N4 ,VISUAL P]CEPTUAL SKILLS 9CLUDE ! FOLL[+ G5]AL >1S3 VISUAL 4CRIM9,N1 =M P]CEP;N1 VISUAL MEMORY1 FIGURE-GR.D P]CEP;N1 EYE-H& COORD9,N1 IMIT,N ( AC;N1 VISUAL CLOSURE1 & VISUAL SEQU5C+4 ,^! SKILLS >E IMPORTANT = DAILY FUNC;N+ 9 ! 5VIRON;T &= LE>N+ 6R1D & WRITE PR9T$ 9=M,N4 ,EXAMPLES ( SCRE5+ ACTIVITIES = EA* >EA >E LI/$ ON ! *>T 9 ! ,,FVLMA 9/RU;T4 ,/UD5TS :O >E PRES*OOL AG$ &_/OR :O >E DEVELOP+ PRER1D+ & WRIT+ SKILLS %D 2 SCRE5$ 0OBS]V+ _! DEVELOP;TAL VISUAL P]CEP;N SKILLS LI/$ 9 ? SEC;N (! ,,FVLMA4 ,? SEC;N IS 9APPROPRIATE = OLD] /UD5TS :O C R1D & WRITE PR9T4 ,! ,,TVI IS CAU;N$ 63SID] ! /UD5T'S AGE & COGNITIVE LEVEL :5 SELECT+ ACTIVITIES 6ASSESS & TRA9 VISUAL P]CEPTUAL SKILLS4 ..,! ,OREGON ,PROJECT = ,VISU,Y ,IMPAIR$ & ,BL ,PRES*OOL .,*N 7#BJJG7 IS AN EXAMPLE (A -M]CI,Y AVAILA# 9/RU;T T CD 2 US$ 9 ASSESS+ VISUAL #GI P]CEPTUAL SKILLS4 ,X 9CLUDES B#EC DEVELOP;TAL VISUAL P]CEPTUAL SKILLS EMB$D$ 9 SEC;NS S* Z COGNITIVE1 VI.N1 & F9E MOTOR4 ,"! >E A NUMB] ( -M]CI,Y AVAILA# TE/S : PURPORT 6M1SURE VISUAL P]CEP;N SKILLS & P]CEPTUAL-MOTOR SKILLS4 ,H["E1 AC 6,SALVIA & ,YSSELDYKE 7#AIIC71 =MAL TE/S >E ( LL VALUE 9 ASSESS+ P]CEPTUAL MOTOR PRO#MS4 ,!Y PROMOTE ! USE ( 8DIRECT SY/EMATIC OBS]V,N 9 ! NATURAL 5VIRON;T 9 : ^! SKILLS ACTU,Y O3UR0 7P4 #CBA74 ,MAT]IALS ,NE$$ SAMPLES ( CLASS "W RELAT$ 6VISUAL P]CEP;N SKILLS "W%EET_/ACTIVITIES RELAT$ 6VISUAL P]CEP;N SKILLS 7LI/$ 9 ,,FVLMA7 ,ASSESS;T ,PROC$URES ,69=M,Y ASSESS VISUAL P]CEP;N SKILLS1 GA!R 9=M,N RELAT$ 6PRE- ACADEMIC ACTIVITIES 9 EA* (! >1S LI/$ ON ! ,,FVLMA PROTOCOL4 ,9=M,N C 2 OBTA9$ 09T]VIEW+ ! CLASSROOM T1*]1 COLLECT+ SAMPLES (! /UD5T'S "W1 OBS]V+ ! C#EC /UD5T 9 ! CLASSROOM1 & ACTU,Y -PLET+ ! LI/$ ACTIVITIES 9 A TE/+ SITU,N4 ,! ,,FVLMA PROTOCOL = ,DEVELOP;TAL ,VISUAL ,P]CEP;N ,SKILLS ,SCRE5+ IS 9CLUD$ 2L3 -------------------------------------#ED #H4 ,DEVELOP;TAL ,VISUAL ,P]CEP;N ,SCRE5+ ,IF /UD5T IS FUNC;N+ AT ! PRE_/EM]G+ R1D+ & WRIT+ LEVEL1 SUMM>IZE T1*]'S DESCRIP;N ( CLASS P]=M.E & OBS]V,NS ( /UD5T'S P]=M.E RELAT$ 6DEVELOP;TAL VISUAL P]CEP;N SKILLS4 ,REVIEW SAMPLES ( /UD5T'S "W OR -PLETE ACTIVITIES S* Z ^? \TL9$ 2L )! /UD5T4 ,DESCRIBE OBS]V,NS4 7777777777777777777777777777777777777777 ,',PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,,VISUAL ,,P]CEP;N ,,SKILLS ,PRE-ACADEMIC ,ACTIVITIES ,OBS]V,NS,' ,VISUAL 4CRIM9,N & =M P]CEP;N #HA ,MAT*ES_/SORTS 0%APE A#ED ,MAT*ES LRS_/NUMB]S ---- ,VISUAL MEMORY ,RECOGNIZES "N ,"NS LRS_/NUMB]S ---- ,FIGUR$-GR.D P]CEP;N ,F9DS HI45 OBJECTS ,ID5TIFIES AC;NS 9 PICTURES ---- ,EYE-H& COORD9,N ,COLORS )9 L9ES ,CUTS \ SIMPLE %APES ---- ,IMIT,N ( AC;N ,COPIES SIMPLE %APES ,COPIES LRS_/NUMB]S ---- ,VISUAL CLOSURE ,DRAWS MISS+ "PS ,ASSEM#S PICTURE PUZZLES ---- ,VISUAL SEQU5C+ ,SEQU;ES OBJECTS 0SIZE B#ED ,>RANGES PICTURES = /ORY ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,DOCU;T,N ( T1*]'S DESCRIP;N ( CLASS P]=M.E & OBS]V,N ( /UD5T'S "W RELAT$ 6VISUAL P]CEP;N SKILLS4 7#D BLANK L9ES7 -------------------------------------#EE ,TYPICAL ,RESPONSE ,EXAMPLES -PLETES AGE-APPROPRIATE VISUAL P]CEP;N TASKS ) LL DI6ICULTY 7IF COGNI;N & MOTOR SKILLS >E 9TACT7 ,ATYPICAL ,RESPONSE ,EXAMPLES 3FU.N ) =M P]CEP;N & VISUAL 4CRIM9,N POOR VISUAL MEMORY1 FIGURE-GR.D1 EYE-H& COORD9,N1 IMIT,N ( AC;N1 VISUAL CLOSURE1 VISUAL SEQU5C+ DI6ICULTY ) PRE_/EM]G+ R1D+ & WRIT+ SKILLS ,NOTE3 ,USE CAU;N 9 9T]PRET+ ABNORMAL RESPONSES & ATTRIBUT+ DEFICITS TO 8IMPAIR$ VI.N0 ) /UD5TS :O H POSSI# COGNITIVE DELAYS1 LE>N+ #HC 4ABILITIES1 &_/OR MOTOR PRO#MS4 A#EE ,EXAMPLES ( ,FUNC;NAL ,PRO#MS DI6ICULTY -PLET+ S*OOL R1DI;S ACTIVITIES DI6ICULTY -PREH5D+ 9=M,N PRES5T$ 9 PICTURES DI6ICULTY -PLET+ F9E MOTOR TASKS DI6ICULTY LE>N+ 6R1D & WRITE ,$UC,NAL ,IMPLIC,NS ,! ,,TVI MAY NE$ 63SULT )! CLASSROOM T1*] REG>D+ A3OMMOD,NS 6MAT]IALS & 9/RUC;NS RELAT$ 6VISUAL P]CEP;N TASKS &_/OR PROVIDE DIRECT 9/RUC;N 6HELP DEVELOP ^! SKILLS4 ,! ,,TVI MAY AL NE$ 6PROVIDE A4I;NAL PRACTICE ) "S SKILL >1S4 ,EXAMPLES ( IMPLIC,NS = ,DEVELOP;TAL ,VISUAL ,P]CEP;N ,SKILLS ,SCRE5+ F ! ,,FVLMA ,REPORT =M >E LI/$ 2L3 ..,DEVELOP;TAL ,VISUAL ,P]CEP;N .,SCRE5+ 7A6ECTS 4CRIM9,N1 P]CEP;N1 REPRODUC;N1 ETC4 ( %APES1 LRS1 NUMB]S1 ETC47 7#G BLANK L9ES7 ,RE9=CE US+ CLASSROOM MAT]IALS & B#EE CURRICULUM ,RE9=CE US+ DEVELOP;TAL VI.N SEQU;E1 E4G41 ,,ISAVE ,O!R ---- ,PO9T \ CRITICAL F1TURES 9 PICTURES ,O!R ---- ,O!R ---- -------------------------------------#EF ,NE> ,ACU;Y & ,4CRIM9,N ,BACKGR.D ,9=M,N ,NE> VI.N IS RECOGNI;N ( OBJECTS1 PICTURES1 & PR9T )9 >M'S R1*4 ,9T]M$IATE VI.N G5],Y RANGES UP 6AB #AJ FEET4 ,VISUAL ACU;Y IS A /&>DIZ$ M1SURE PROVID$ 0! EYE DOCTOR US$ 9 -MUNICAT+ ) P>5TS & O!R PROFES.NALS4 ,VISUAL ACU;Y DOES N GIVE AN A3URATE PICTURE ( VISUAL FUNC;N+2 = EXAMPLE1 /UD5TS )! SAME ACUITIES MAY DEMON/RATE V>Y+ DEGREES ( VISUAL E6ICI5CY4 ,F\R >1S ( NE> & 9T]M$IATE VI.N W 2 ASSESS$3 NE>-VISUAL ACU;Y1 ID5TIFIC,N ( -MON OBJECTS1 MAT*+_/ ID5TIFIC,N ( CO9S1 & #HE ID5TIFIC,N ( PICTURES4 A#EF ,NE> & 9T]M$IATE 4TANT VI.N IS ASSESS$ US+ /&>D ACU;Y *>TS1 -MON OBJECTS1 CO9S & PAP] M"OY1 & PICTURES4 ,(T5"TS EYE REPORTS D N PROVIDE A /&>D M1SURE ( NE> ACU;Y1 & EV5 IF NE> ACU;Y IS PROVID$1 X IS HELP;L =! ,,TVI 6M1SURE ACU;Y 6CORROBORATE ! 9=M,N F ! EYE DOCTOR4 ,/&>D1 NE>-VISUAL ACU;Y IS G5],Y M1SUR$ AT #AD 6#AF 9*ES1 DEP5D+ ON ! SPECIFIC EYE *>T US$4 ,! ,,TVI %D REF] 6! BACK (! ,EYE ,REPORT = ,*N ) ,VISUAL ,PRO#MS 7,PREV5T ,BL;S ,AM]ICA7 : %[S ! REL,N%IP AM;G ^! V>I\S ME?ODS ( REPORT+ NE> ACU;Y4 ,= EXAMPLE1 NORMAL1 NE>-VISUAL ACU;Y MAY 2 REPORT$ Z3 ,SNELL5 #BJ_/BJ1 ,A4,M4,A4 7,AM]ICAN ,M$ICAL ,ASSOCI,N7 #AD_/AD1 ,JAEG] #A1 ,MET]S ,EQUIVAL5T #J.CG ;,M1 OR #C PO9T TYPE 7AN 9*-HI< LR IS #GB PO9TS74 8,! SIZE ( PR9T T IS RECOMM5D$ B#EF = SU/A9$ -=T & P]=M.E DUR+ R1D+ IS (T5 TWO-TO-FIVE "TS L>G] ?AN ! SMALLE/ PR9T ! P]SON IS CAPA# ( R1D+ 7,LUECK1 #BJJD1 P4#BAB740 ,! ,,TVI W ASSESS SMALLE/ PR9T SIZE A3ESSI# 6! /UD5T US+ ! ACU;Y *>T & O!R MAT]IALS Z APPROPRIATE4 ,ACTUAL R1D+ P]=M.E & -=T W 2 A3ESS$ 9 ! ,ORAL & ,SIL5T ,R1D+ SEC;NS (! ,LE>N+ ,M$IA ,ASSESS;T4 ,VISUAL RESPONSES 6OBJECTS1 CO9S1 & PICTURES >E OBS]V$ AT NE> PO9T 6DOCU;T VISUAL P]=M.E4 ,FUNC;NAL NE> 4CRIM9,N C 2 ASSESS$ BY3 7#A7 PLAC+ -MON OBJECTS F ! CLASSROOM 7E4G41 SCISSORS1 P5CIL1 PAP] CLIP7 ON A TA# &! FLOOR )9 #AJ FEET (! /UD5T2 7#B7 MAT*+ OR ID5TIFY+ CO9S1 & IF POSSI# R1D+ ! DATES ON CO9S2 & 7#C7 ID5TIFY+ PICTURES 9CLUD+ BLACK & :ITE DRAW+S1 COLOR$ ILLU/R,NS1 & PHOTOGRAPHS ( -MON OBJECTS4 -------------------------------------#EG ,MAT]IALS ,NE$$ NE> EYE *>T O3LUD] #HG ,MAT]IALS ,NE$$ 73T47 A#EG #AH 9* RUL] /UD5T'S L[ VI.N DEVICE1 IF PRESCRIB$ -MON OBJECTS3 #G@9 YELL[ P5CIL1 #B@9 SILV] PAP] CLIP1 #B-C@9 RU2] B&1 #C@9 GLUE /ICK1 #E-H@9 SCISSORS1 #F@9 SILV]W>E M"OY3 P5NY1 NICKEL1 DIME1 QU>T]1 4#A1 4#E PICTURES3 COLOR$ PHOTOS ( FAMILI> FAM\S P1 COLOR$ PHOTOS ( -MON OBJECTS1 BLACK-&-:ITE L9E DRAW+S1 COLOR$ ILLU/R,NS TAPE M1SURE BLACK CLO? :ITE CLO? -------------------------------------#EH ,NE> ,ACU;Y & ,4CRIM9,N ,C5TRAL ,NE> ,ACU;Y ,ASSESS;T ,PROC$URES ,"! >E A V>IETY ( *>TS AVAILA# -M]CI,Y : C 2 US$ 6M1SURE NE> ACU;Y4 ,! ,,TVI %D SELECT A *>T BAS$ ON ! /UD5T'S LIT]ACY LEVEL1 E4G41 A PICTURE *>T S* Z ! ,APPLE1 ,H\SE1 ,UMBRELLA ,SYMBOLS A#EH = ,*N F ,! ,LIE NONR1D]S OR 2G9N+ R1D]S4 ,! ,LI ,ACU;Y ,TE/ 7,NEW ,YORK ,LIE G5]AL GUIDEL9ES PROVID$ 2L1 ! ,,TVI %D FOLL[ ! SPECIFIC DIREC;NS PROVID$ ) EA* EYE *>T4 ,X IS RECOMM5D$ 6M1SURE NE> ACU;Y ) CORREC;N 7GLASSES OR 3TACT L5SES7 &) L[ VI.N DEVICE7S7 IF EI OR BO? >E PRESCRIB$4 ,IF A /UD5T 3T9U,Y LOSES1 BR1KS1 OR REFUSES 6WE> PRESCRIB$ GLASSES1 X MAY 2 NEC 6M1SURE ! /UD5T'S ACU;Y )\T CORREC;N &) CORREC;N S APPROPRIATE MODIFIC,NS C 2 MADE DUR+ "TS :5 ! /UD5T IS )\T GLASSES4 ,! ,,TVI %D TE/ BO? EYES1 !N EA* EYE 9DIVIDU,Y FOLL[+ A /&>DIZ$ R\T9E 6AVOID 3FU.N & 6FACILITATE RECORD+4 ,"S"TS A M1SURE ( BO? EYES TGR ) CORREC;N IS SU6ICI5T :5 3SID]+ /UD5T'S AGE1 VISUAL FATIGUE1 & ASSESS;T "T FRAME4 #HI ,FOLL[+ >E PROC$URES = M1SUR+ B#EH NE> ACU;Y3 #A4 ,LR & NUMB] *>TS C 2 US$ ) /UD5TS :O >E A# 6R1D LRS & NUMB]S4 ,SYMBOL *>TS C 2 US$ ) /UD5TS :O _C RECOGNIZE LRS OR NUMB]S4 #B4 ,X MAY 2 NEC 6USE "O OR TWO 9DEX C>DS ( V>Y+ SIZES 6COV] POR;NS (! *>T N 9 USE OR 6S]VE Z A L9E M>K]4 #C4 ,SELECT A R1SONABLY QUIET ROOM ) TYPICAL CLASSROOM LIT 9 FRONT (! /UD5T AT ! SPECIFI$ 4T.E4 ,USE ! #AH-9* RUL] 6M1SURE & MA9TA9 ! 4T.E4 ,"S NE> *>TS H CORDS ATTA*$ 6!M : 9CR1SE ! EASE ( MA9TA9+ ! APPROPRIATE 4T.E 2T ! EYES &! *>T4 #D4 ,T1* ! /UD5T 6USE AN O3LUD] 79DEX C>D1 PAP] CUP1 OR PLA/IC O3LUD]7 6COV] "O EYE4 ,BO? EYES M/ 2 OP5 DUR+ ! TE/4 #E4 ,IF ! /UD5T WE>S GLASSES1 TE/ F/ )! GLASSES ON & !N )\T ! GLASSES4 ,2G9 )! #BJJ FOOT L9E ) /UD5TS :O H L[ VI.N4 #F4 ,TE/ BO? EYES TGR1 !N "R EYE1 !N LEFT EYE4 C#EH -------------------------------------#EI #G4 ,TO 8PASS0 A L9E1 ! /UD5T M/ ID5TIFY A MAJOR;Y 7M ?AN HALF7 ( ALL SYMBOLS4 ,= EXAMPLE1 IF A /UD5T CORRECTLY R1DS #C (! #D SYMBOLS ON ! #BJ_/FJ L9E1 B ONLY R1DS #B (! #D SYMBOLS ON ! #BJ_/EJ L9E1 ! /UD5T'S BE/ ACU;Y IS RECORD$ Z #BJ_/FJ-A4 #H4 ,IF A L[ VI.N DEVICE HAS BE5 PRESCRIB$1 DET]M9E ACU;Y US+ ! DEVICE & SPECIFY ! 4T.E4 ,ONCE NE> ACU;Y IS M1SUR$ AC 6/&>D PROC$URES1 H ! /UD5T R1D ! SMALLE/ L9E POSSI# ON ! *>T AT HIS_/H] PREF]R$ 4T.E4 ,? PROVIDES 9=M,N AB ! SMALLE/ PR9T A /UD5T C A3ESS1 EV5 IF X IS =A V %ORT P]IOD ( "T4 #I4 ..,NE> ,ACU;Y & .,4CRIM9,N A4 .,C5TRAL .NE> .ACU;Y US+ ---- *>T AT #AD_/AF 9*ES4 #IA 777777777777777777777777777777777 A#EI )\T ) ) ,L[ VI.N CORREC;N CORREC;N DEVISE "3333333 "3333333 "333333333 ,BO? EYES 7,,OU7 """""""" """""""" """""""""" ,"R EYE 7,,OD7 """""""" """""""" """""""""" ,LEFT EYE 7,,OS7 """""""" """""""" """""""""" GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,/ATE SMALLE/ L9E R1D ON *>T & 4T.E4 ---- ,DESCRIBE VISUAL 2HAVIORS4 7#E BLANK L9ES7 ,/ATE BR&1 TYPE1 & P[] ( L[ VI.N DEVICE US$4 7#F BLANK L9ES7 -------------------------------------#FJ ,ID5TIFIES ,-MON ,OBJECTS ,ASSESS;T ,PROC$URES ,2F ! /UD5T 5T]S ! ROOM OR :ILE ! /UD5T TURNS 8 BACK 6A TA#1 ! A#FJ ,,TVI %D PLACE ! -MON OBJECTS LI/$ 9 ! *>T ON A TA# &! FLOOR4 ,:ILE FAC+ ! TA#1 H ! /UD5T /& APPROXIMATELY #AJ FEET AWAY F ! OBJECTS & EI "N ! OBJECTS 7HI<] LEVEL ( VISUAL RECOGNI;N SKILL7 OR PO9T 6! OBJECTS Z "ND 0! ,,TVI4 ,IF ! /UD5T IS UNA# 6ID5TIFY ! OBJECTS AT #AJ FEET1 H ! /UD5T SL[LY MOVE CLOS] & /OP :5 A4I;NAL OBJECTS >E SE5_/ID5TIFI$4 ,! 4T.ES F ! /UD5T'S EYES 6! OBJECTS1 ! COLORS &_/ OR 3TRA/S 2T ! OBJECTS &! BACKGR.D1 VISUAL 2HAVIORS EXHIBIT$1 -;TS MADE 0! /UD5T DUR+ ! ASSESS;T1 &! PRIM>Y WAY ! /UD5T ID5TIFI$ ! OBJECTS 7SIE MISID5TIFI$4 B4 .,ID5TIFIES .-MON .OBJECTS )9 #AJ FEET4 ,IF A /UD5T GETS V CLOSE 6OBJECTS 6ID5TIFY !M1 USE A BLACK OR :ITE PIECE ( CLO? Z A BACKGR.D 6DET]M9E IF 9CR1S$ 3TRA/ IMPROVES VISUAL E6ICI5CY4 #IC 777777777777777777777777777777777 B#FJ ,',PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,,OBJECT ,,SIZE ,,4T.E ,,ID5TIFI$ ,,VISUAL ,,2HAVIORS,' YELL[ P5CIL #G IN4 ---- YES_/NO ---- ,SILV] PAP] CLIP #B IN4 ---- YES_/NO ---- ,RU2] B& #B-C IN4 ---- YES_/NO ---- ,GLUE /ICK #C IN4 C#FJ ---- YES_/NO ---- ,SCISSORS #E-H IN4 ---- YES_/NO ---- ,SILV]W>E #F IN4 ---- YES_/NO ---- ,CLE> PLA/IC CUP #D IN4 ---- YES_/NO ---- ---- ---- ---- YES_/NO ---- ---- #IE ---- D#FJ ---- YES_/NO ---- ---- ---- ---- YES_/NO ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,:AT IS ! PRIM>Y WAY ! /UD5T ID5TIFI$ ! OBJECTS ABV3 VISU,Y_/TACTU,Y8 7#C BLANK L9ES7 -------------------------------------#FA ,MAT*ES_/,ID5TIFIES ,CO9S ,ASSESS;T ,PROC$URES ,DOCU;T ! DATE ( EA* CO9 ON ! TE/ PROTOCOL4 ,PLACE EA* CO91 "O AT A "T1 ON ! TA# 9 FRONT (! /UD5T4 ,ASK ! /UD5T 6"N EA* CO94 ,IF ! /UD5T 3FUSES OR MISID5TIFIES ! CO9S1 PLACE ALL #D CO9S ON ! TA#1 & ASK ! /UD5T 6PO9T 6& "N EA* CO94 ,IF /UD5T IS "Y & HASN'T LE>N$ CO9 ID5TIFIC,N1 PLACE TWO SETS ( CO9S A#FA ON ! TA# 9 FRONT (! /UD5T & ASK ! /UD5T 6MAT* ! CO9S4 ,H ! /UD5T R1D ! DATES ON ! CO9S1 IF POSSI#4 ,REP1T ! ACTIV;Y US+ ! 4#A.JJ & 4#E.JJ BILL4 ,NOTE M"OY ID5TIFIC,N A3URACY1 4T.ES VIEW$1 VISUAL 2HAVIORS EXHIBIT$1 -;TS MADE 0! /UD5T DUR+ ! ASSESS;T1 &! PRIM>Y WAY ! /UD5T ID5TIFI$ ! M"OY 7VISU,Y OR TACTU,Y7 ON ! PROTOCOL4 ,NOTE IF ! /UD5T ID5TIFI$ ! CO9S 9DIVIDU,Y OR IF SIZE -P>ISONS 7 US$ = ID5TIFIC,N :5 ALL #D CO9S 7 ON ! TA#4 C4 .,MAT*ES_/ID5TIFIES .CO9S & R1DS DATES4 ,M>K EA* NUM]AL ( DATE MISS$4 7777777777777777777777777777777777777777 ,PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,CO9_/BILL ,ID5TIFI$ ,4T.E ,ID5TIFI$ ,DATE ,ON ,CO9 ,4T.E ,DATE ,R1D ,VISUAL ,2HAVIORS,' ,P5NY YES_/NO #IG ---- B#FA ---- ---- ---- ,NICKEL YES_/NO ---- ---- ---- ---- ,DIME YES_/NO ---- ---- ---- ---- ,QU>T] YES_/NO ---- ---- ---- ---- 4#A YES_/NO ---- ---- ---- ---- 4#E YES_/NO ---- C#FA ---- ---- ---- ---- ---- ---- ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,:AT IS ! PRIM>Y WAY ! /UD5T ID5TIFI$ ! OBJECTS ABV3 VISU,Y_/TACTU,Y8 7#H BLANK L9ES7 -------------------------------------#FB ,ID5TIFIES ,PICTURES ,ASSESS;T ,PROC$URES ,PLACE DI6]5T PICTURES_/DRAW+S "O AT A "T ON ! TA# 9 FRONT (! /UD5T4 ,ASK ! /UD5T 6ID5TIFY ! PICTURES OR ITEMS 9 ! PICTURES4 ,NOTE SIZE ( PICTURES_/ITEMS 9 PICTURES1 COLORS1 4T.E VIEW$1 A3URACY ( ID5TIFIC,N1 & VISUAL 2HAVIORS EXHIBIT$4 ,! ,,TVI MAY NE$ 6ASK "QS S* Z3 8,TELL ME :AT Y SEE10 & 8,TELL ME :AT IS #II HAPP5+ 9 ! PICTURE10 IF A#FB APPROPRIATE4 ,IF ! /UD5T IS UNA# 6ID5TIFY PICTURES ) TWO OR M ITEMS1 ! ,,TVI MAY WANT 6"N ! ITEMS & ASK ! /UD5T 6PO9T 6!M4 ,AL? ? IS A L[] LEVEL SKILL1 X MAY 9DICATE A />T+ PO9T = 9/RUC;N4 D4 ,ID5TIFIES PICTURES4 7777777777777777777777777777777777777777 ,',PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,TYPE ,( ,PICTURE ,SIZE ,4T.E ,ID5TIFI$ ,VISUAL ,2HAVIORS,' ,COLOR$ PHOTOS ( FAMILI> FAM\S P ---- ---- YES_/NO ---- ,COLOR$ PHOTOS ( -MON OBJECTS ---- ---- YES_/NO B#FB ---- ,BLACK & :ITE L9E DRAW+S ---- ---- YES_/NO ---- ,COLOR$ ,ILLU/R,NS ---- ---- YES_/NO ---- ---- ---- ---- YES_/NO ---- ---- ---- ---- YES_/NO ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,DESCRIBE H[ COLOR1 3TRA/1 #AJA PICTURE -PLEX;Y1 OR V]BAL CUES C#FB A6ECT VISUAL E6ICI5CY4 7#AJ BLANK L9ES7 -------------------------------------#FC ,TYPICAL ,RESPONSE ,EXAMPLES ID5TIFIES SMALL OBJECTS AT NE> & 9T]M$IATE 4T.ES UP 6#AJ FEET AWAY ID5TIFIES OBJECTS & PICTURES F 4T.ES ( #AD 9*ES 6#AJ FEET ID5TIFIES M"OY AT >M'S L5G? ,ATYPICAL ,RESPONSE ,EXAMPLES MOVES CLOS] 6ID5TIFY OBJECTS1 PICTURES1 OR CO9S AT NE> OR 9T]M$IATE 4T.ES MISID5TIFIES OBJECTS1 PICTURES1 OR CO9S ID5TIFIES "PS ( PICTURES OR ONLY FAMILI> ITEMS ID5TIFIES PICTURES_/ITEMS ONLY :5 "ND ID5TIFIC,N DEP5D5T ON SIZE1 3TRA/1 OR COLOR UNA# 6VISU,Y ID5TIFY OBJECTS1 PICTURES1 OR CO9S AT NE> PO9T UNA# 6VISU,Y ID5TIFY OBJECTS1 PICTURES OR CO9S AT 9T]M$IATE 4T.ES USES TACTILE S5SE 6ID5TIFY OBJECTS &_/OR CO9S ,EXAMPLES ( ,FUNC;NAL ,PRO#MS A#FC 9ABIL;Y 6USE PICTURES = -PREH5.N CLUES :5 R1D+ 9ABIL;Y 6VISU,Y LOCATE OBJECTS & DROPP$ OBJECTS SOCIAL /IGMA ( HOLD+ MAT]IALS V CLOSE 6EYES_/GETT+ CLOSE 6VIEW 9ABIL;Y 6ID5TIFY M"OY A3URATELY TAKES L;G] 6LOCATE OBJECTS_/MAT]IALS DI6ICULTY ) ORGANIZ,N SKILLS ,$UC,NAL ,IMPLIC,NS ,TACTILE LE>N+ MAY NE$ 6BE 3SID]$ Z ! PRIM>Y LE>N+ MODE = /UD5TS :O EXHIBIT POOR NE> VISUAL 4CRIM9,N SKILLS4 ,FUR!R PR9T ASSESS;T W NE$ 6BE -PLET$ 2F ? RECOMM5D,N IS DET]M9$1 9CLUD+ ! EVALU,N (! B5EFITS ( L[ VI.N DEVICE7S74 ,AL? "S /UD5TS W 2 VISUAL LE>N]S1 DIRECT 9/RUC;N MAY 2 NE$$ 6DEVELOP OBJECT & PICTURE RECOGNI;N SKILLS BR++ ATT5;N 6CRITICAL F1TURES4 ,EXAMPLES ( IMPLIC,NS = NE> ACU;Y & 4CRIM9,N F ! ,,FVLMA REPORT =M >E LI/$ 2L4 #AJC ..,NE> ,ACU;Y & .,4CRIM9,N #FD 7A6ECTS ABIL;Y 6R1D & 4T+UI% OBJECTS AT NE> & 9T]M$IATE RANGES7 7#G BLANK L9ES7 ,T1* SY/EMATIC SE>* PATT]NS ,T1* TACTILE 4CRIM9,N ( ,EXTRA "T 6LOCATE CLASS MAT]IALS ,T1* LOCALIZ,N & SCANN+ SKILLS ,T1* ADVOCACY SKILLS ,O!R ---- ,ORAL DESCRIP;N ( PICTURES ,T1* ME?OD 6ORGANIZE PAP] M"OY ,OMIT PICTURE DEP5D5T TE/ ITEMS ,T1* OBJECT_/PICTURE RECOGNI;N ,T1* ORGANIZ,N SKILLS ,O!R ---- -------------------------------------#FE ,4TANT ,ACU;Y & ,4CRIM9,N ,BACKGR.D ,9=M,N ,4TANT VI.N IS ! 4CRIM9,N ( OBJECTS1 PICTURES1 & PR9T AT #AJ FEET OR GRT]4 ,4TANT VISUAL ACU;Y IS A /&>DIZ$ M1SURE PROVID$ 0! EYE DOCTOR US$ 9 -MUNICAT+ ) P>5TS & O!R PROFES.NALS4 ,VISUAL ACU;Y DOES N GIVE AN A3URATE PICTURE ( A#FE VISUAL FUNC;N+2 = EXAMPLE1 /UD5TS )! SAME ACUITIES MAY DEMON/RATE V>Y+ DEGREES ( VISUAL E6ICI5CY4 ,TYPIC,Y EYE REPORTS PROVIDE A /&>D M1SURE ( 4TANT ACU;Y4 ,H["E1 X MAY 2 HELP;L =! ,,TVI 6M1SURE ACU;Y 6CORROBORATE ! 9=M,N F ! EYE DOCTOR4 ,/&>D 4TANT VISUAL ACU;Y IS G5],Y M1SUR$ AT #AJ OR #BJ FEET1 DEP5D+ ON ! SPECIFIC EYE *>T US$4 ,ACUITIES >E REPORT$ Z ,SNELL5 4TANT M1SURES4 ,IF /UD5TS >E UNA# 6R1D ! L>GE/ SYMBOL ON ! EYE *>T1 ! EYE DOCTOR MAY REPORT ! FOLL[+ NOT,NS3 C.TS F+]S AT SPECIFI$ 4T.E 7E4G41 ,,CF @AT #E FT471 H& MOVE;T 7;,,HM71 LIE OBS]V$ 6DOCU;T 4TANT VISUAL P]=M.E4 ,FUNC;NAL 4TANT 4CRIM9,N C 2 ASSESS$ BY3 7#A7 LOCAT+ -MON OBJECTS F.D 9 ! CLASSROOM 7E4G41 P5CIL1 #AJE TEXTBOOK1 /APL]S1 SCISSORS7 ON B#FE V>Y+ SURFACES AT 4T.ES GRT] ?AN #AJ FEET2 7#B7 LOCAT+ A WALL CLOCK & DESCRIB+ ! POSI;NS (! H&S2 7#C7 IMITAT+ BODY MOVE;TS & ID5TIFY+ FACIAL EXPRES.NS2 & 7#D7 RECOGNIZ+ PICTURES1 NUMB]S1 LRS & S+LE ^WS WRITT5 ON A :ITEBO>D4 ,! SIZE (! ASSESS;T ROOM MAY LIMIT ! 4T.ES ( TE/+ & PREV5T A TRUE PICTURE (! GRTE/ 4T.E A /UD5T C SEE OBJECTS4 ,! ,,TVI MAY NE$ 6WALK )! /UD5T 6L>G] >1S S* Z ! CAFET]IA1 HALLWAY1 OR GYMNASIUM 6GET A M A3URATE 9DIC,N ( 4TANT VISUAL 4CRIM9,N4 ,X WD 2 MISL1D+ 6/ATE 9 A REPORT T A /UD5T CD ID5TIFY FACIAL EXPRES.NS AT #AJ FEET :5 TE/+ 0 N -PLET$ AT 4T.ES GRT] ?AN #AJ FEET4 ,MAT]IALS ,NE$$ EYE GLASSES & L[ VI.N DEVICE = 4T.E1 IF PRESCRIB$ 4TANT EYE *>T7S7 O3LUD] MASK+ TAPE ,MAT]IALS ,NE$$ 73T47 C#FE M1SUR+ TAPE -MON MAT]IALS3 #G@9 YELL[ P5CIL1 #H BY #AJ TEXTBOOK1 #E-H@9 /APL]1 #E-H@9 SCISSORS1 #C-G@9 TAPE 4P5S]1 #AH-CF@9 HI< TRA% C A3ESS 6WALL CLOCK 9 S*OOL A3ESS 6CLASSROOM :ITE BO>D OR *ALKBO>D -------------------------------------#FF ,MAT]IALS ,NE$$ 73T47 DRY ERASE M>K]S OR *ALK :ITE BO>D ERAS] OR *ALK ERAS] ,,APH ,,5VI.N ,I 4T.E C>DS ,4TANT ,ACU;Y & ,4CRIM9,N ,C5TRAL ,4TANT ,ACU;Y ,ASSESS;T ,PROC$URES ,"! >E A V>IETY ( *>TS AVAILA# -M]CI,Y : C 2 US$ 6M1SURE 4TANT ACU;Y4 ,! ,,TVI %D SELECT A *>T BAS$ ON ! /UD5T'S COGNI;N & LIT]ACY LEVEL1 E4G41 A PICTURE *>T S* Z ! ,APPLE1 ,H\SE1 ,UMBRELLA ,SYMBOLS = ,*N F ,! ,LIE NONR1D]S OR 2G9N+ R1D]S4 ,! ,SNELL5 *>T F ,PREV5T ,BL;S ,AM]ICA & O!R LR & NUMB] *>TS >E APPROPRIATE = /UD5TS :O H 3SI/5T NUMB] & LR RECOGNI;N SKILLS4 ,AL? "! >E G5]AL GUIDEL9ES PROVID$ 2L1 ! ,,TVI %D FOLL[ ! SPECIFIC DIREC;NS PROVID$ ) EA* EYE *>T4 ,X IS RECOMM5D$ 6M1SURE 4TANT ACU;Y ) CORREC;N 7GLASSES OR 3TACT L5SES7 &) L[ VI.N DEVICE7S7 IF EI OR BO? >E PRESCRIB$4 ,IF A /UD5T 3T9U,Y LOSES1 BR1KS1 OR REFUSES 6WE> PRESCRIB$ GLASSES1 X MAY 2 NEC 6M1SURE ! /UD5T'S ACU;Y )\T CORREC;N &) CORREC;N S APPROPRIATE MODIFIC,NS C 2 MADE DUR+ "TS :5 ! /UD5T IS )\T GLASSES4 ,! ,,TVI %D TE/ BO? EYES1 !N EA* EYE 9DIVIDU,Y FOLL[+ A /&>DIZ$ R\T9E 6AVOID 3FU.N & 6FACILITATE RECORD+4 ,"S"TS A M1SURE ( BO? EYES TGR ) CORREC;N IS SU6ICI5T :5 3SID]+ /UD5T'S AGE1 VISUAL FATIGUE1 & ASSESS;T "TFRAME4 ,FOLL[+ >E PROC$URES = M1SUR+ 4TANT ACU;Y3 #A4 ,LR & NUMB] *>TS C 2 US$ ) B#FF /UD5TS :O >E A# 6R1D LRS & NUMB]S4 ,SYMBOL *>TS C 2 US$ ) /UD5TS :O _C RECOGNIZE LRS & NUMB]S4 #B4 ,SELECT A WELL-ILLUM9AT$ & R1SONABLY QUIET ROOM4 ,TAPE ! *>T 6A LIE & %AD[S >E N ON ! *>T4 ,IF NEC1 M.T ! *>T ON LIT )! #CJ-FOOT L9E AT EYE LEVEL =! /UD5T4 ,M1SURE & PLACE MASK+ TAPE AT EXACTLY #AJ OR #BJ FEET F ! *>T1 DEP5D+ ON ! *>T US$4 #C4 ,! /UD5T MAY SIT OR /&4 ,IF ! /UD5T /&S1 H ! /UD5T FACE ! *>T & PLACE 8 HEELS ON ! MASK+ TAPE4 ,IF ! /UD5T SITS1 PLACE ! BACK (! *AIR ON ! MASK+ TAPE4 ,A SET ( FOOTPR9TS MADE ( 3/RUC;N PAP] MID1 PAP] CUP1 OR PLA/IC O3LUD]7 6COV] "O EYE4 ,BO? EYES %D 2 OP5 DUR+ ! TE/4 ,! ,,TVI MAY NE$ 6HOLD ! O3LUD] = /UD5TS :O >E V "Y OR PHYSIC,Y IMPAIR$4 #AJI #E4 ,IF ! /UD5T WE>S GLASSES1 TE/ #FG F/ ) GLASSES & !N )\T GLASSES4 #F4 ,TE/ BO? EYES TGR1 !N "R EYE1 !N LEFT EYE4 ,ALW FOLL[ A /&>DIZ$ R\T9E 6AVOID 3FU.N & 6FACILITATE RECORD+4 #G4 ,2G9 0ASK+ ! /UD5T 6R1D ! SMALLE/ L9E ON ! *>T T C 2 SE54 ,IF ! L9E IS R1D SU3ESS;LLY1 PROMPT ! /UD5T 6R1D ! NEXT SMALLE/ L9E4 ,IF M ?AN HALF (! LRS >E MISS$ ON ! *OS5 L9E1 H ! /UD5T R1D "O L9E UP ON ! *>T4 #H4 ,6PASS A L9E1 ! /UD5T M/ ID5TIFY A MAJOR;Y 7M ?AN HALF7 ( ALL SYMBOLS4 ,DOCU;T ! /UD5T'S P]=M.E ON ! ,,FVLMA PROTOCOL4 #I4 ,IF A L[ VI.N DEVICE HAS BE5 PRESCRIB$1 DET]M9E ACU;Y US+ ! DEVICE4 #AJ4 ..,4TANT ,ACU;Y & .,4CRIM9,N A4 .,C5TRAL .4TANT .ACU;Y US+ ---- *>T AT #AJ/BJ FEET4 777777777777777777777777777777777 A#FG ;,W/,L[ ;,W/;O ;,W/ VI.N ,CORREC;N ,CORREC;N ,DEVISE "33333333 "33333333 "3333333 ,BO? EYES 7,,OU7 """"""""" """"""""" """""""" ,"R EYE 7,,OD7 """"""""" """"""""" """""""" ,LEFT EYE 7,,OS7 """"""""" """"""""" """""""" GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,DESCRIBE VISUAL 2HAVIORS4 7#B BLANK L9ES7 ,/ATE BR&1 TYPE1 & P[] ( L[ VI.N DEVICE PRESCRIB$47 7#B BLANK L9ES7 ,ID5TIFIES ,-MON ,OBJECTS ,ASSESS;T ,PROC$URES ,2F ! /UD5T 5T]S ! ROOM ! ,,TVI %D RE>RANGE CLASSROOM OBJECTS OR #AAA PLACE -MON OBJECTS LI/$ 9 ! *>T B#FG ON ! FLOOR1 DESKS1 TA#S1 &_/OR %ELVES AT 4T.ES F #AJ 6#CJ FEET4 ,H ! /UD5T 5T] ! ROOM & EI "N ! OBJECTS SE5 7HI<] LEVEL ( VISUAL RECOGNI;N SKILL7 OR PO9T 6! OBJECTS Z "ND 0! ,,TVI4 ,IF ! /UD5T IS UNA# 6ID5TIFY OBJECTS1 H ! /UD5T SL[LY MOVE CLOS] & /OP :5 A4I;NAL OBJECTS >E SE5_/ID5TIFI$4 ,! 4T.ES F ! /UD5T 6! OBJECTS1 ! COLORS &_/OR 3TRA/S 2T ! OBJECTS &! BACKGR.D1 ! VISUAL 2HAVIORS EXHIBIT$1 &! -;TS MADE 0! /UD5T DUR+ ! ASSESS;T %D 2 NOT$ ON ! PROTOCOL4 ,NOTE OBJECTS T >E MISID5TIFI$4 ,DOCU;T IF ! USE ( /UD5T'S L[ VI.N DEVICE IMPROVES 4TANT VISUAL FUNC;N+4 -------------------------------------#FH B4 .,ID5TIFIES .-MON .OBJECTS PLAC$ ON ! FLOOR1 DESKS1 TA#S1 &_/OR %ELVES F #AJ 6#CJ FEET AWAY4 7777777777777777777777777777777777777777 ,',PR9T COLUMN =MAT *ANG$ Z FOLL[S3,' ,OBJECT ,SIZE ,4T.E A#FH ,ID5TIFI$ ,VISUAL ,2HAVIORS,' ,YELL[ P5CIL #G IN4 ---- YES_/NO ---- ,TEXTBOOK #H BY #AJ IN4 ---- YES_/NO ---- ,/APL] #E-H IN4 ---- YES_/NO ---- ,SCISSORS #E-H IN4 ---- YES_/NO ---- ,TAPE 4P5S] #AAC #C-G IN4 B#FH ---- YES_/NO ---- ,TRA% C #AH-CF IN4 ---- YES_/NO ---- ---- ---- ---- YES_/NO ---- ---- ---- ---- YES_/NO ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,DOES ! USE (! /UD5T'S L[ VI.N DEVICE IMPROVE VISUAL FUNC;N+8 YES_/NO ,DESCRIBE4 7#D BLANK L9ES7 ,LOCATES ,CLOCK & ,TELLS ,"T C#FH ,ASSESS;T ,PROC$URES ,H ! /UD5T /& AT ! OPPOSITE 5D (! ROOM F A WALL CLOCK4 ,ASK ! /UD5T IF "! IS A CLOCK 9 ! ROOM & 6PO9T 6XS LOC,N4 ,IF ! /UD5T IS UNA# 6LOCATE ! CLOCK1 TELL ! /UD5T 6WALK =W>D & LOOK UNTIL ! CLOCK IS LOCAT$4 ,ONCE ! CLOCK IS LOCAT$1 DOCU;T ! 4T.E & VISUAL 2HAVIORS4 ,ASK ! /UD5T 6TELL ! "T ON ! CLOCK OR DESCRIBE ! H& POSI;NS ON ! CLOCK4 ,TELL ! /UD5T 6MOVE CLOS] IF NEC4 ,RECORD 4T.ES & VISUAL 2HAVIORS ON ! PROTOCOL4 ,DOCU;T IF USE ( L[ VI.N DEVICE IMPROVES 4TANT VISUAL FUNC;N+4 C4 ..,LOCATES CLOCK & TELLS ."T4 ,LOCATES WALL CLOCK AT ---- FEET4 ---- ,DESCRIBE PRO#MS4 ---- ,TELLS "T_/DESCRIBES H& POSI;NS ON CLOCK AT ---- FEET4 ---- ,DESCRIBE PRO#MS4 7#B BLANK L9ES7 #AAE ,DOES USE (! /UD5T'S L[ VI.N #FI DEVICE IMPROVE VISUAL FUNC;N+8 YES_/NO ,DESCRIBE4 7#F BLANK L9ES7 ,IMITATES ,BODY ,MOVE;TS ,ASSESS;T ,PROC$URES ,! ,,TVI W WANT 63DUCT ^! ACTIVITIES 9 A HALLWAY OR GYMNASIUM 9 ORD] 6M1SURE GRT] 4T.ES ?AN ALL[$ 9 A CLASSROOM4 ,! ,,TVI %D /& APPROXIMATELY #DJ FEET F ! /UD5T4 ,ASK ! /UD5T 6IMITATE EA* (! AC;NS LI/$ ON ! PROTOCOL4 ,IF ! /UD5T IS UNA# 6IMITATE OR IMITATES 9A3URATELY1 MOVE T[>D ! /UD5T UNTIL ! /UD5T C IMITATE ! AC;N A3URATELY4 ,RECORD 4T.ES & VISUAL 2HAVIORS ON ! PROTOCOL4 ,DOCU;T IF USE (! /UD5T'S PRESCRIB$ L[ VI.N DEVICE IMPROVES 4TANT VISUAL FUNC;N+4 D4 .,IMITATES .BODY .MOVE;TS4 7777777777777777777777777777777777777777 ,',PR9T COLUMN =MAT *ANG$ Z FOLL[S3,' ,OBJECT ,SIZE A#FI ,4T.E ,ID5TIFI$ ,VISUAL ,2HAVIORS,' ,WAVE H& ---- YES_/NO ---- ,RAISE H& ---- YES_/NO ---- ,H&S ON HIPS ---- YES_/NO ---- ,/& ON "O FOOT ---- YES_/NO ---- ,PO9T 6NOSE ---- YES_/NO ---- #AAG ,/ICK \ T;GUE B#FI ---- YES_/NO ---- ---- ---- ---- ---- ---- ---- ---- ---- GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,DOES USE ( /UD5T'S L[ VI.N DEVICE IMPROVE VISUAL FUNC;N+8 YES_/NO ,DESCRIBE4 7#B BLANK L9ES7 -------------------------------------#GJ ,ID5TIFIES ,FACIAL ,EXPRES.NS ,ASSESS;T ,PROC$URES ,:ILE /&+ NO M ?AN #C FEET AWAY 9 FRONT (! /UD5T1 ! ,,TVI %D DEMON/RATE & "N EA* FACIAL EXPRES.N =! /UD5T4 ,*ECK = RECOGNI;N4 ,!N MOVE APPROXIMATELY #BJ-TO-#BE FEET F ! /UD5T4 ,ASK ! A#GJ /UD5T 6"N EA* FACIAL EXPRES.N :5 EXHIBIT$4 ,IF NE$$1 MOVE =W>D UNTIL ! /UD5T C "N ! EXPRES.NS A3URATELY4 ,RECORD 4T.ES & VISUAL 2HAVIORS ON ! PROTOCOL4 ,DOCU;T IF ! USE ( /UD5T'S PRESCRIB$ L[ VI.N DEVICE IMPROVES 4TANT VISUAL FUNC;N+4 E4 .,ID5TIFIES .FACIAL .EXPRES.NS 7HAPPY_/SAD_/ANGRY7 AT ---- FEET4 ,DESCRIBE4 7#C BLANK L9ES7 ,DOES USE ( /UD5T'S PRESCRIB$ L[ VI.N DEVICE IMPROVE VISUAL FUNC;N+8 YES_/NO ,DESCRIBE4 7#C BLANK L9ES7 ,RECOGNIZES ,PICTURES1 ,NUMB]S1 ,LRS1 & ,^WS ,ASSESS;T ,PROC$URES ,H ! /UD5T /& AT ! OPPOSITE 5D (! ROOM F ! BO>D4 ,AC 6! /UD5TS AGE_/DEVELOP;TAL LEVEL1 DRAW ?REE #E-TO-#AJ 9* -MON PICTURES 7E4G41 TREE1 /ICK P1 #AAI H\SE72 OR WRITE NUMB]S1 LRS &_/OR B#GJ SIMPLE ^WS ON ! BO>D4 ,! ,,TVI MAY *OOSE 6USE M>K]S ( DI6]+ COLORS4 ,ASK ! /UD5T 6ID5TIFY ! PICTURES4 ,IF NE$$1 H ! /UD5T MOVE =W>D UNTIL ! PICTURES1 NUMB]S1 LRS1 OR ^WS C 2 A3URATELY ID5TIFI$4 ,RECORD COLOR ( M>K]7S7_/BO>D1 4T.ES1 & VISUAL 2HAVIORS ON ! PROTOCOL4 ,DOCU;T IF USE ( L[ VI.N DEVICE IMPROVES 4TANT VISUAL FUNC;N+4 F4 ..,RECOGNIZES PICTURES1 NUMB]S1 LRS1 & .^WS ,RECOGNIZES #E 6#AJ 9* PICTURES DRAWN ON BO>D AT ---- FEET4 ,DESCRIBE4 7#C BLANK L9ES7 ,R1DS ---- 9* NUMB]S_/LRS_/^WS F BO>D AT ---- FEET4 7#C BLANK L9ES7 ,DOES USE (! /UD5T'S L[ VI.N DEVICE IMPROVE VISUAL FUNC;N+8 YES_/NO ,DESCRIBE4 ---- ,TYPICAL ,RESPONSE ,EXAMPLES #GA R1DS #BJ_/BJ L9E ON 4TANT ACU;Y *>T ID5TIFIES -MON OBJECTS AT 4T.ES ( #AJ FEET OR GRT] TELLS "T F WALL CLOCK AT 4T.ES ( #AJ FEET OR GRT] IMITATES BODY MOVE;TS AT 4T.ES ( #AJ FEET OR GRT] ID5TIFIES FACIAL EXPRES.NS AT 4T.ES ( #AJ FEET OR GRT] ID5TIFIES PICTURES1 NUMB]S1 LRS1 ^WS AT V>Y+ 4T.ES ,ATYPICAL ,RESPONSE ,EXAMPLES UNA# 6R1D BETT] ?AN #BJ_/EJ ON 4TANT ACU;Y *>T MOVES CLOS] 6ID5TIFY -MON CLASSROOM OBJECTS1 BODY MOVE;TS1 FACIAL EXPRES.NS1 PICTURES1 NUMB]S1 LRS1 & ^WS MISID5TIFIES OBJECTS1 BODY MOVE;TS1 FACIAL EXPRES.NS1 PICTURES1 & SYMBOLS ID5TIFIES PICTURES & SYMBOLS ONLY :5 "ND 4CRIM9,N DEP5D5T ON SIZE1 3TRA/1 COLOR #ABA ,ATYPICAL ,RESPONSE ,EXAMPLES A#GA 73T47 UNA# 6ID5TIFY OBJECTS1 BODY MOVE;TS1 ETC41 AT #AJ FEET OR GRT] M/ USE A L[ VI.N DEVICE 6IMPROVE 4TANT VISUAL 4CRIM9,N ,EXAMPLES ( ,FUNC;NAL ,PRO#MS 9ABIL;Y 6VISU,Y LOCATE -MON CLASSROOM OBJECTS TAKES L;G] 6LOCATE OBJECTS_/MAT]IALS DOES N RESPOND 6FACIAL CUES & BODY LANGUAGE_/MOVE;TS OR MIS9T]PRETS SOCIAL CUES EXP]I;ES SOCIAL /IGMA ( GETT+ V CLOSE VIEW OBJECTS1 BO>D1 & DEMON/R,NS 9ABIL;Y 6GA!R VISUAL 9=M,N AT A 4T.E ,$UC,NAL ,IMPLIC,NS ,/UD5TS :O H DI6ICULTY SEE+ AT A 4T.E W REQUIRE MODIFIC,NS 6A3ESS CLASSROOM OBJECTS1 SOCIAL CUES1 & PR9T$ 9=M,N4 ,EXAMPLES ( IMPLIC,NS = 4TANT ACU;Y & 4CRIM9,N F ! ,,FVLMA ,REPORT =M >E LI/$ 9 ! BOX 2L4 ..,4TANT ,ACU;Y & .,4CRIM9,N #GB 7A6ECTS ABIL;Y 6R1D & 4T+UI% OBJECTS AT 4TANT & 9T]M$IATE RANGES7 7#I BLANK L9ES7 ,T1* SY/EMATIC SE>* PATT]NS ,3SULT RE3 IMPLIC,NS ( BODY LANGUAGE ,EXTRA "T 6LOCATE CLASS MAT]IALS ,PREF]5TIAL S1T+ = DEMON/R,NS ,V]BALIZE :AT IS WRITT5_/DRAWN ON BO>D ,V]BALIZE DIREC;NS 6LOCATE MAT]IALS ,O!R ---- ,MAY B5EFIT F WE>+ A WAT* ,PROVIDE V]BAL PROMPTS 9 LOCAT+ OBJECTS_/MAT]IALS ,T1* CRITICAL F1TURES ( PICTURES ,T1* ASS]TIVE;S RE3 NE$S ,RECOMM5D = L[ VI.N EVALU,N ,O!R ---- ,O!R 7#AE BLANK L9ES7 #ABC ,LE>N+ ,M$IA ,ASSESS;T #GC ,CURR5T ,PR9T ,FUNC;N+ ,BACKGR.D ,9=M,N ,CURR5T PR9T FUNC;N+ PROVIDES 9=M,N ON H[ ! /UD5T A3ESSES PR9T$ MAT]IALS4 ,! BE/ WAY 6DET]M9E IF A /UD5T )A VISUAL IMPAIR;T C A3ESS PR9T IS 6H ! /UD5T R1D PR9T$ MAT]IALS F.D 9 ! S*OOL & 9 ! 5VIRON;T4 ,/UD5TS :O >E VISU,Y IMPAIR$ M/ A3ESS PR9T$ MAT]IALS 9 A V>IETY ( WAYS1 AC 6_! VISUAL NE$S1 3V5I;E1 & "T4 ,"S /UD5TS MAY A3ESS PR9T 0MOV+ CLOS]1 US+ L[ VI.N DEVICES1 OR US+ L>GE PR9T2 O!RS M/ R1D BRL OR USE AUDITORY ME?ODS 6A3ESS PR9T$ 9=M,N4 ,/UD5TS )! SAME EYE 3DI;N &_/OR VISUAL ACU;Y MAY V>Y GRTLY 9 _! ME?ODS ( A3ESS+ PR9T$ 9=M,N4 ,MAT]IALS ,NE$$ /UD5T'S PRESCRIB$ L[ VI.N DEVICE SAMPLES ( CLASS H&\TS CLASS DIC;N>Y MAP 9 /UD5T'S SOCIAL /UDIES BOOK GRAPH_/DIAGRAM 9 /UD5T'S TEXTBOOK ,MAT]IALS ,NE$$ 73T47 A#GC RUL] NEWSPAP] MAGAZ9E CATALOG PAGE F PH"O BOOK M5U FOOD BOX_/C CLO?+ TAG ,ASSESS;T ,PROC$URES ,! ,,TVI %D ASK ! /UD5T 69DICATE H[ ! LI/$ PR9T M$IA >E CURR5TLY A3ESS$ & RECORD A 8@>0 9 ! APPROPRIATE COLUMN4 ,V]IFY VISUAL A3ESS 0HAV+ ! /UD5T R1D1 WE>+ GLASSES IF PRESCRIB$1 F SAMPLES ( PR9T M$IA4 ,GIVE SPECIFIC DIREC;NS Z APPROPRIATE 6DOCU;T ! USE (A SY/EMATIC APPROA* 7E4G41 F9D A C]TA9 "N & R1D PH"O NUMB] OR F9D PREP>,N DIREC;NS ON A FOOD 3TA9]74 ,IF ! /UD5T HAS VISUAL DI6ICULTY1 H ! /UD5T ATTEMPT 6R1D ) L[ VI.N DEVICE 7,,LVD71 IF PRESCRIB$4 ,PRES5T MAT]IALS & TASKS : >E APPROPRIATE 6! /UD5T'S AGE & #ABE LEVEL4 ,IF ! MAT]IALS >E TOO B#GC DI6ICULT 6R1D1 ASK ! /UD5T 6SPELL ! ^WS4 ,PLACE A *ECKM>K 9 ! APPROPRIATE COLUMNS 7R1DS1 R1DS ;W_/ ,,LVD1 USES R1D]1 OR DOESN'T A3ESS7 9DICAT+ IF & H[ ! /UD5T VISU,Y A3ESSES ! MAT]IALS4 ,OBS]VE & NOTE "U VISUAL OBS]V,NS ! 4T.E R1D1 VISUAL 2HAVIORS1 & /UD5T -;TS4 -------------------------------------#GD ,ANSW] "QS 2N ! *>T BAS$ ON OBS]V,NS (! /UD5T US+ PR9T M$IA SAMPLES4 ,3TRA/ C 2 OBS]V$ "? USE ( MAPS & MAGAZ9ES4 ,SY/EMATIC APPROA* C 2 DOCU;T$ 0OBS]V+ /UD5T LOCATE SPECIFIC 9=M,N4 ,DOCU;T TYPE & P[] (! L[ VI.N DEVICE US$4 #A4 .,CURR5T .,PR9T .,FUNC;N+ ,ASK ! /UD5T 69DICATE H[ ! FOLL[+ PR9T M$IA >E A3ESS$ & RECORD A 8@>0 9 ! APPROPRIATE COLUMN4 ,*ECK VISUAL A3ESS 0HAV+ ! /UD5T R1D1 WE>+ GLASSES IF PRESCRIB$1 F SAMPLES ( PR9T M$IA LI/$ 2L4 ,DOCU;T RESPONSES 0*ECK+ ! APPROPRIATE COLUMN 9 ! *>T 2L4 ,DESCRIBE OBS]V,NS ( VISUAL 2HAVIORS4 ,IF ! A#GD /UD5T HAS VISUAL DI6ICULTY1 H ! /UD5T ATTEMPT 6R1D ) L[ VI.N DEVICE 7,,LVD71 IF PRESCRIB$4 7777777777777777777777777777777777777777 ,',NOTE %[N 9 ! TA# 2L3 99 PR9T M$IA T MAY 2 US$ 6DET]M9E /UD5T RESPONSE 6COLOR$ BACKGR.D4 ,PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,,PR9T ,,M$IA ,R1DS ,R1DS W_/,,LVD ,USES ,R1D] ,DOESN'T A3ESS ,VISUAL ,OBS]V,NS,' ,CLASS ,H&\TS ---- ---- ---- ---- ---- ,CLASS ,DIC;N>Y ---- ---- #ABG ---- B#GD ---- ---- ,HI< ,3TRA/ ,MAP 99 ---- ---- ---- ---- ---- ,M$IUM ,3TRA/ ,MAP 99 ---- ---- ---- ---- ---- ,L[ ,3TRA/ ,MAP 99 ---- ---- ---- ---- ---- ,GRAPH_/,DIAGRAM ---- ---- ---- ---- C#GD ---- ,RUL] ---- ---- ---- ---- ---- ,NEWSPAP] ---- ---- ---- ---- ---- ,MAGAZ9E 99 ---- ---- ---- ---- ---- ,CATALOG 99 ---- ---- ---- ---- #ABI ---- D#GD ,PH"O ,BOOK ---- ---- ---- ---- ---- ,M5U ---- ---- ---- ---- ---- ,FOOD ,BOX_/,C 99 ---- ---- ---- ---- ---- ,CLO?+ ,TAG ---- ---- ---- ---- ---- 7#A R[ ( BLANK COLUMNS7 E#GD GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG -------------------------------------#GE A4 ,R1DS TEXT PR9T$ ON V>I\S COLOR$ BACKGR.DS8 99 YES_/NO 99 PR9T M$IA T MAY 2 US$ 6DET]M9E /UD5T RESPONSE 6COLOR$ BACKGR.D4 7#C BLANK L9ES7 B4 ,APPROA*ES TASKS SY/EMATIC,Y 7TOP 6BOTTOM1 LEFT 6"R78 YES_/NO 7#C BLANK L9ES7 C4 ,/ATE BR&1 TYPE1 & P[] ( L[ VI.N DEVICE US$4 7#D BLANK L9ES7 ,TYPICAL ,RESPONSE ,EXAMPLES R1DS A V>IETY ( PR9T M$IA F AB #AD 6#AF 9*ES R1DS PR9T ON V>Y+ COLOR$ BACKGR.DS USES TOP 6BOTTOM & LEFT 6"R SE>* PATT]NS ,ATYPICAL ,RESPONSE ,EXAMPLES REQUIRES L[ VI.N DEVICE 6R1D PR9T M$IA A# 6R1D "S B N ALL PR9T M$IA #ACA ,ATYPICAL ,RESPONSE ,EXAMPLES A#GE 73T47 A# 6R1D BOLD & L>GE PR9T MAT]IALS 7E4G41 NEWSPAP] H1D+S7 HOLDS MAT]IALS V CLOSE 9 ORD] 6A3ESS A3ESSES PR9T M$IA V SL[LY & LABORI\SLY UNA# 6VISU,Y R1D PR9T M$IA UNA# 6VISU,Y R1D PR9T ON C]TA9 COLOR$ BACKGR.DS ,EXAMPLES ( ,FUNC;NAL ,PRO#MS UNA# 6A3ESS PR9T$ M$IA DEMON/RATES DI6ICULTY A3ESS+ PR9T M$IA VISUAL E6ICI5CY DECR1SES ) C]TA9 COLOR -B9,NS ,$UC,NAL ,IMPLIC,NS ,IF ! /UD5T _C R1D -MON PR9T M$IA1 MODIFIC,NS W NE$ 6BE MADE &_/OR ADAPT$ MAT]IALS W NE$ 6BE PROVID$4 ,EXAMPLES ( IMPLIC,NS = CURR5T PR9T FUNC;N+ F ! ,,FVLMA ,REPORT =M >E LI/$ 2L4 -------------------------------------#GF .,CURR5T .,PR9T .,FUNC;N+ 79DICATES H[ PR9T$ MAT]IALS >E A3ESS$7 7#AF BLANK L9ES7 A#GF ,PREF]S BLACK-L9$ H&\TS ,NE$S BLACK-L9$ REGUL>_/L>GE PR9T H&\TS ,USE ADAPT$ RUL]3 L>GE PR9T_/BRL ,MAY B5EFIT F AUDITORY A3ESS 6PR9T ,ADAPT MAPS_/GRAPHS_/DIAGRAMS Z NE$$ ,USE LIVE R1D] =3 ---- ,RECOMM5D L[ VI.N EVALU,N ,TRA9 9 USE ( PREF]R$_/PRESCRIB$ ,,LVD ,REQUIRES A4I;NAL "T 6-PLETE TASKS ,5C\RAGE USE ( ,,LVD ,O!R ---- ,IMPROVES VISUAL FUNC;N+ BY3 TILT+ H1D3 LEFT_/"R_/UP_/D[N MOV+ MAT]IAL CLOS] 6EYES MOV+ EYES CLOS] 6MAT]IAL CLOS+ "O EYE3 LEFT_/"R ,T1*_/5C\RAGE ASS]TIVE;S ,T1* LOCALIZ,N_/SCANN+ SKILLS ,T1* SY/EMATIC SE>* PATT]NS ,3SULT_/ADAPT = PRO#MS ) COLOR 3TRA/ ,O!R ---- ,O!R ---- #ACC ,R1D+ & ,LI/5+ #GG ,BACKGR.D ,9=M,N ,ASSESS;T ( ORAL &_/OR SIL5T R1D+ PROVIDES 9=M,N ON R1D+ GRADE EQUIVAL5T1 LEVEL1 R1D+ SPE$_/RATE1 NUMB] & TYPES ( ]RORS1 & -PREH5.N4 ,-P>ISONS ( ? 9=M,N :5 US+ V>Y+ PR9T SIZES1 PRESCRIB$ L[ VI.N DEVICES1 OR O!R R1D+ AIDS 7E4G41 L9E M>K]7 C HELP ! ,,TVI DET]M9E3 IF "S =M ( PR9T 7REGUL> PR9T1 REGUL> PR9T )A L[ VI.N DEVICE1 OR L>GE PR9T7 W 2 ! PRIM>Y MODE ( R1D+1 : PR9T SIZE IS M E6ICI5T1 & IF BRL %D 2 A 3SID],N4 ,2F A DECI.N IS MADE 63SID] L>GE PR9T1 BRL1 OR LI/5+ Z A PRIM>Y MODE ( R1D+ =A /UD5T ) L[ VI.N1 PROMIS+ PRACTICE 9DICATES A L[ VI.N EVALU,N 0A LIC5S$ PRACTI;N] %D 2 3DUCT$4 .,IF A /UD5T IS UNA# 6R1D REGUL> PR9T )A PRESCRIB$ L[ VI.N DEVICE OR L>GE PR9T AT A SATISFACTORY SPE$1 -=T LEVEL1 & L5G? ( "T 6MA9TA9 P]=M.E EQUIVAL5T A#GG 6COGNITIVE LEVEL1 .!N BRL1 OR -B9,NS ( BRL1 LI/5+ &_/OR PR9T %D 2 3SID]$ 9 DET]M9+ R1D+ MODE7S74 ,PR9T ALT]NATIVES %D AL 2 3SID]$ = /UD5TS ) DEG5]ATIVE EYE 3DI;NS4 ,REF] 6,APP5DIX ;,C =A ,LE>N+ ,M$IA ,ASSESS;T ,DECI.N-,MAK+ ,GUIDE ,SUMM>Y BAS$ ON 9=M,N 9 ! ,LE>N+ ,M$IA ,ASSESS;T 0,KOENIG & ,HOLBROOK 7#AIIE74 ,T1*] JUDG;T 3SID]+ ! -B9$ FACTORS ( SPE$1 ]RORS1 -PREH5.N1 & OBS]V,NS ( VISUAL 2HAVIORS %D 2 US$ 9 DET]M9+ PR9T SIZE & APPROPRIATE R1D+ MODE7S74 ,R1D+ SPE$S = SIE VISU,Y IMPAIR$ & :O R1D L>GE PR9T OR BRL >E PROVID$ 9 ! ,,FVLMA = -P>ISON4 ,AN ,9=MAL ,R1D+ ,9V5TORY 7,,IRI7 W 2 US$ 6ASSESS ORAL &_/OR SIL5T R1D+ & LI/5+4 ,9=MAL ,R1D+ ,9V5TORIES >E AVAILA# Z PUBLI%$ ASSESS;T GUIDEBOOKS_/9/RU;TS1 & MAY 2 F.D 9 COLLEGE TEXTBOOKS ON R1D+ ME?ODS1 OR 9 T1*] SUPPLE;TS A3OMPANY+ ;,K-#H R1D+ S]IES4 ,REF] 6! *>T 2L = /&>DS US$ 9 DET]M9+ R1D+ LEVELS US+ AN ,,IRI4 #ACE 7777777777777777777777777777777777 #GH ,/&>DS = DET]M9+ R1D+ LEVELS >E Z FOLL[S3 ,9DEP5D5T ,LEVEL3 ,LESS ?AN "O ]ROR P] #AJJ ^WS2 #IJ@3P -PREH5.N OR BETT] ,9/RUC;NAL ,LEVEL3 ,NO M ?AN #E ]RORS P] #AJJ ^WS2 AT L1/ #GE@3P -PREH5.N ,FRU/R,N ,LEVEL3 ,M ?AN #AJ ]RORS P] #AJJ ^WS2 #EJ@3P OR LESS -PREH5.N 7,SPA*E1 #AIGF7 GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG ,! ,,TVI W UTILIZE 9=M,N F ! 9T]VIEWS & PREVI\S OBS]V,NS & ASSESS;TS ( NE> VI.N 6SELECT PR9T SIZE = 9ITIAL R1D+ ASSESS;T ACTIVITIES4 ,IF A /UD5T WE>S GLASSES &_/OR HAS A PRESCRIB$ L[ VI.N DEVICE1 BO? %D 2 AVAILA# = USE DUR+ ! ASSESS;T4 ,A CLOS$-CIRCUIT TELEVI.N 7,,CCTV7 MAY NE$ 6BE AVAILA# 6ASSESS /UD5TS :O >E SEV]ELY VISU,Y IMPAIR$1 H DI6ICULTY R1D+ L>GE PR9T1 &_/OR H N _H A L[ VI.N EVALU,N4 ,IF1 & :5 ! /UD5T OBTA9S A PRESCRIB$ L[ VI.N DEVICE & HAS BE5 TAUGE PR9T COPIES (! ^W LI/S & PASSAGES A#GH F ! ,,IRI %D 2 AVAILA# Z NE$$4 ,S9CE FONT SIZE 9=M,N IS R1DILY AVAILA# ON -PUT]S1 X MAY 2 HELP;L =! ,,TVI 9 -MUNICAT+ ) REGUL> $UC,N T1*]S 6ID5TIFY & REPORT ! FONT & SIZES PREF]R$ 0! /UD5T4 7777777777777777777777777777777777777777 ,'PR9T FONT SIZE 9CR1SES ) EA* S5T;E4,' ,? FONT SIZE IS #AB PO9T4 ,? FONT SIZE IS #AD PO9T4 ,? FONT SIZE IS #AF PO9T4 ,? FONT SIZE IS #AH PO9T4 ,? FONT SIZE IS #BD PO9T4 ,? FONT SIZE IS #CF PO9T4 ,! ABV FONT IS ,,APH,'ONT1 PREF]R$ 0MO/ P]SONS SURVEY$ ) L[ VI.N & IS AVAILA# = D[NLOAD AT _+WWW.APH.ORG/PRODUCTS/APHONT_:4 GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG #ACG ,MAT]IALS ,NE$$ #GI EYE GLASSES & L[ VI.N DEVICE IF PRESCRIB$ 9=MAL ,R1D+ ,9V5TORY GUIDEBOOK ) AT L1/ #D =MS AT EA* GRADE LEVEL ,7E4G41 ,JOHNS 7#AIIG7 & ,SEWELL 7#AIIG7 F ,,TSBVI OR ,BURNS_/,ROE 7#AIIC7 F ,H\ PR9T1 L>GE PR9T1 OR BRL COPIES ( ^W LI/S & R1D+ PASSAGES F ! ,,IRI /OP WAT* ,,CCTV 7IF NE$$7 L9E M>K] CALCULATOR A3ESS 6-PUT] FONT SIZE %EET 7EXAMPLE ABV7 ,ASSESS;T ,PROC$URES ,! ,,TVI M/ /UDY ! ,,IRI GUIDEBOOK & 2COME FAMILI> )! 9/RUC;NS 2F ASSESS+ ! /UD5T4 ,ADM9I/] ! TE/ OR,Y1 SIL5TLY OR BO?2 H["E1 ! /UD5T'S 9DEP5D5T1 9/RUC;NAL1 & FRU/R,N LEVELS %D 2 ID5TIFI$4 ,! F/ /EP IS 6ADM9I/] ! ,GRAD$ ,^W ,LI/S & ID5TIFY ! /UD5T'S HIT+ PO9T = ADM9I/]+ ! ,GRAD$ ,PASSAGES4 ,USE ! /OPWAT* 6RECORD "T1 & ADM9I/] ! ,GRAD$ ,PASSAGES AC 6! DIREC;NS 9 ! ,,IRI GUIDEBOOK1 M>K+ MISCUES & ASK+ A3OMPANY+ -PREH5.N "QS4 ,Z ! /UD5T R1DS .OR,Y1 9DICATE ]RORS ON ! ,,TVI'S COPY (! /ORY4 ,= EXAMPLE1 WRITE ! ACTUAL ]RORS ( .SUB/ITU;NS & .REV]SALS ( ^W ORD] ABV ORIG9AL TEXT1 CIRCLE .OMIS.NS1 & USE @95 SIGN ) .9S]T$ ^W WRITT5 ABV1 M>K SELF-CORREC;NS BY WRIT+ ,,OK OV] ! ]ROR4 ,ORAL R1D+ C 2 TAP$ =A M A3URATE ANALYSIS4 ,ANALYZE & 9T]PRET ORAL R1D+ ]RORS AC 6! GUIDEL9ES PROVID$ 9 ! ,,IRI GUIDEBOOK4 ,R1D+ ]RORS _C 2 OBS]V$ DUR+ SIL5T R1D+2 H["E1 R1D+ SPE$ & -PREH5.N C 2 DOCU;T$4 ,USE ! /OP WAT* 6"T ! /UD5T'S R1D+4 ,CALCULATE R1D+ SPE$ & RECORD ON ! ,,FVLMA =M 9 ! APPROPRIATE SPACE3 .,SPE$ 7^WS P] M9UTE7 = ORAL &_/OR SIL5T R1D+ .K 7TOTAL NUMB] ( ^WS 9 PASSAGE DIVID$ 0TOTAL NUMB] ( SECONDS R1D7 "TS #FJ4 ,= EXAMPLE1 ,M>IA R1D #HJ ^WS 9 #ABJ #ACI SECONDS B#GI 7#HJ_/ABJ@*FJ .K #DJ WPM74 ,! 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LA/ ^W R1D EA* M9UTE ON ! ,,TVI'S COPY (! /ORY = FATIGUE -P>ISON4 ,DUR+ SIL5T R1D+1 H /UD5T 9DICATE ! ^W R1D AT ! HALFWAY "T 7E4G41 FIVE M9UTE M>K DUR+ A T5 M9UTE R1D+74 ,C.T & -P>E ! NUMB] ( ^WS R1D DUR+ ! F/ "P (! PASSAGE 6^? R1D DUR+ ! SECOND "P4 ,9 3SID],N ( "T1 ! ,,TVI MAY *OOSE 6RECORD R1D+ SPE$S = "O M9UTE AT ! 2G9N+ & "O M9UTE NE> ! 5D (! PASSAGE = FATIGUE -P>ISON = EI ORAL OR SIL5T R1D+4 ,WRITE ! DATA 9 ! *>TS ON ! PROTOCOL Z 9DICAT$4 ,IF ! /UD5T IS ALR A BRL R1D]1 USE ! LA/ COLUMN 9 EA* *>T 6RECORD BRL R1D+ RESULTS2 M>K "? 8L>GE PR9T0 & CIRCLE 8BRL0 9 ! COLUMN H1D+4 ,A *ECKLI/ S* Z ,ASSESS;T ( ,BRL ,LIT]ACY ,SKILLS 7,,ABLS7 0,KOENIG & ,F>R5KOPF 7#AIIE7 C 2 US$ 6DOCU;T SPECIFIC SKILLS 9 #ADA EM]G5T LIT]ACY1 ACADEMIC LIT]ACY1 B#HJ & FUNC;NAL LIT]ACY4 #B4 ,ORAL ,R1D+ ,ORAL R1D+ SPE$S 7WPM7 = SIE PREC$$ 9 BRL 0SEP>,N L9ES4 ,COLUMN H1D+ =MAT *ANGE IS N REP1T$ ON EA* BRL PAGE4 ,PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,,R1D+ ,,OBS]V,N ,REGUL> ,PR9T ,REGUL> ,PR9T ;W_/,,LVD ,L>GE ,PR9T_/,BRL,' ,,IRI & =M US$ ---- C#HJ ---- ---- ,GRAD$ ^W LI/ LEVEL ---- ---- ---- ,GRAD$ PASSAGE LEVEL ---- ---- ---- ,E/IMAT$ FONT SIZE ---- ---- ---- 7#A R[ ( BLANK COLUMNS47 -------------------------------------#HA 3333333333333333333333333333333333333333 ,R1D+ SPE$-WPM ---- ---- ---- ,2G9N+_/5D+ "T ---- ---- #ADC ---- A#HA ,TOTAL "T ---- ---- ---- ,NUMB] ( ^WS R1D ---- ---- ---- 7#A R[ ( BLANK COLUMNS47 3333333333333333333333333333333333333333 ,]ROR ,ANALYSIS ---- ---- ---- ,OMIS.NS ---- ---- ---- ,SUB/ITU;NS ---- ---- ---- ,9S];NS ---- ---- B#HA ---- ,REV]SALS ( ^W ORD] ---- ---- ---- 7#A R[ ( BLANK COLUMNS47 3333333333333333333333333333333333333333 ,-PREH5.N @3P @3P @3P 7#A R[ ( BLANK COLUMNS47 3333333333333333333333333333333333333333 ,OBS]V,NS ---- ---- ---- ,4T.E ---- ---- ---- ,FATIGUE -P>ISON DATA ---- ---- #ADE ---- C#HA ,EYES TIR$8 7,SPECIFY "T7 YES_/NO 7,"T3 @7 YES_/NO 7,"T3 @7 YES_/NO 7,"T3 @7 ,L9E M>K] HELP;L8 YES_/NO YES_/NO YES_/NO GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG A4 ,RECORD OBS]V,NS ( PHYSICAL & VISUAL 2HAVIORS DUR+ ORAL R1D+4 ,SPECIFY IF 2HAVIORS V>I$ 2T REGUL> PR9T1 REGUL> PR9T ) OPTICAL DEVICE1 OR L>GE PR9T4 MOVES EYES ONLY USES F+]_/H&_/>M = GUIDE_/PLACE M>K] EXHIBITS H1D MOVE;TS APPE>S 6LOSE PLACE3 SELDOM_/"S_/FREQU5TLY SKIPS LRS_/^WS_/PHRASES_/L9ES O!R ---- -------------------------------------#HB B4 ,OBS]V,NS ( BRL R1D+ 2HAVIORS4 7#B BLANK L9ES7 A#HB #C4 ,SIL5T ,R1D+ ,SIL5T R1D+ SPE$S 7WPM7 = SIV]1 #AIHI7 ,SIL5T R1D+ SPE$S 7WPM7 = /UD5TS ) VISUAL IMPAIR;TS R1D+ L>GE PR9T 9 GRADES #D-AB3 #ADG ,GRS #D-F #GI B#HB ,GRS #I-AB #IE 7,NOLAN1 #AIFF7 ,SIL5T R1D+ SPE$S 7WPM7 = /UD5TS ) VISUAL IMPAIR;TS R1D+ BRL 9 GRADES #D-AB3 ,GRS #D-F #EB-EG ,GRS #I-AB #FF-GD 7,NOLAN & ,MORRIS1 #AIFF7 7777777777777777777777777777777777777777 ,',SEC;NS (! PR9T TA# >E PREC$$ 9 BRL 0SEP>,N L9ES4 ,COLUMN H1D+ =MAT *ANGE IS N REP1T$ ON EA* BRL PAGE4 ,PR9T COLUMN =MAT *ANG$ Z FOLL[S3 ,,R1D+ ,,OBS]V,N ,REGUL> ,PR9T ,REGUL> ,PR9T ;W_/,,LVD ,L>GE ,PR9T_/,BRL,' ,,IRI & =M US$ ---- ---- C#HB ---- ,GRAD$ ^W LI/ LEVEL ---- ---- ---- ,GRAD$ PASSAGE LEVEL ---- ---- ---- ,E/IMAT$ FONT SIZE ---- ---- ---- 7#A R[ ( BLANK COLUMNS47 3333333333333333333333333333333333333333 ,R1D+ SPE$-WPM ---- ---- ---- ,2G9N+_/5D+ "T ---- ---- ---- ,TOTAL "T #ADI ---- D#HB ---- ---- ,NUMB] ( ^WS R1D ---- ---- ---- 7#A R[ ( BLANK COLUMNS47 3333333333333333333333333333333333333333 ,-PREH5.N @3P @3P @3P 7#A R[ ( BLANK COLUMNS47 3333333333333333333333333333333333333333 ,OBS]V,NS ---- ---- ---- -------------------------------------#HC ,4T.E ---- ---- ---- ,FATIGUE -P>ISON DATA ---- A#HC ---- ---- ,EYES TIR$8 7,SPECIFY "T7 YES_/NO 7,"T3 @7 YES_/NO 7,"T3 @7 YES_/NO 7,"T3 @7 ,BRIEF RE/ P]IODS TAK58 YES_/NO YES_/NO YES_/NO ,L9E M>K] HELP;L8 YES_/NO YES_/NO YES_/NO GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG A4 ,RECORD OBS]V,NS ( O!R PHYSICAL & VISUAL 2HAVIORS DUR+ SIL5T R1D+4 ,SPECIFY IF 2HAVIORS V>I$ 2T REGUL> PR9T1 REGUL> PR9T ) L[ VI.N DEVICES1 OR L>GE PR9T4 #AEA MOVES EYES ONLY B#HC USES F+]_/H&_/>M = GUIDE OR PLACE M>K] EXHIBITS H1D MOVE;TS ,O!R ---- B4 ,RECORD OBS]V,NS ( BRL R1D+ 2HAVIORS4 ,REF] 6! ,ASSESS;T ( ,BRL ,LIT]ACY ,SKILLS 7,,ABLS7 OR O!R *ECKLI/ ( BRL SKILLS4 7#D BLANK L9ES7 ,LI/5+ ,ASSESS;T ,PROC$URES ,UTILIZE A =M (! ,,IRI N PREVI\SLY US$ 9 ! R1D+ ASSESS;T 6ASSESS ! /UD5T'S LI/5+ SKILLS4 ,/>T AT ! /UD5T'S ASSIGN$ GRADE LEVEL1 R1D+ ! PASSAGE & ASK+ ! -PREH5.N "QS4 ,IF ! /UD5T SCORES #GE@3P OR HI<]1 MOVE 6! NEXT HID+ EA* SKILL >EA OBS]V$ 9 SEC;N 8;E0 2L4 #D4 ,LI/5+ A4 ,SPECIFY ,,IRI & =M US$3 7#B BLANK L9ES7 B4 ,/UD5T'S ASSIGN$ GRADE LEVEL3 C4 ,LI/5+ -PREH5.N AT GRADE LEVEL3 ----@3P -------------------------------------#HD D4 ,HI1S 7E4G41 MA9 IDEA1 CAUSE & E6ECT1 9F];E1 VOCABUL>Y1 DETAILS1 & SEQU;E74 7#B BLANK L9ES7 F4 ,DESCRIBE /UD5T'S SKILLS 9 .OP]AT+ .AUDIO .EQUIP;T & SPECIFY ! EQUIP;T US$4 ,X IS HELP;L 6UTILIZE A *ECKLI/ ( RELAT$ SKILLS4 7#B BLANK L9ES7 G4 ,DESCRIBE /UD5T'S SKILLS 9 ..UTILIZ+ A LIVE .R1D] 7E4G41 REQUE/+ SEC;NS 2 RER1D1 SPELL #AEC DI6ICULT ^WS1 R1D H1D+S 2F A#HD R1D+ TEXT1 9CR1SE OR DECR1SE SPE$74 ,X IS HELP;L 6UTILIZE A *ECKLI/ ( RELAT$ SKILLS4 7#B BLANK L9ES7 ,-PUT] ,MONITOR ,A3ESS ,ASSESS;T ,PROC$URES ,TYPE S"EAL P>AGRAPHS ON ! -PUT] F A R1D+ BOOK AT OR 2L ! /UD5T'S ID5TIFI$ R1D+ LEVEL4 ,H ! /UD5T R1D OR,Y ! 9=M,N ON ! MONITOR4 ,ASSESS 9 #AB PO9T 9ITI,Y1 !N GRADU,Y USE L>G] FONT SIZE UNTIL ! /UD5T C -=TABLY R1D ! MAT]IALS4 #E4 ,-PUT] ,MONITOR ,A3ESS ,DOCU;T OBS]V,NS ( FONT SIZE -=TABLY R1D1 4T.E1 VISUAL 2HAVIORS1 & -;TS4 7#F BLANK L9ES7 ,TYPICAL ,RESPONSE ,EXAMPLES R1DS REGUL> PR9T R1D+ SPE$S EQUIVAL5T 6TYPICAL PE]S 7SEE PRIOR *>TS7 ,TYPICAL ,RESPONSE ,EXAMPLES B#HD 73T47 FAIR-TO-GD R1D+ -PREH5.N FAIR-TO-GD LI/5+ -PREH5.N ,ATYPICAL ,RESPONSE ,EXAMPLES M/ USE L[ VI.N DEVICE 6SEE MAT]IALS UNA# 6SEE REGUL> PR9T OR L>GE PR9T POOR R1D+ -PREH5.N -------------------------------------#HE ,ATYPICAL ,RESPONSE ,EXAMPLES 73T47 SL[ R1D+ SPE$S EYES FATIGUE EASILY MOVES H1D V CLOSE 6R1D+ MAT]IAL ABNORMAL H1D TURN POOR LI/5+ -PREH5.N ,EXAMPLES ( ,FUNC;NAL ,PRO#MS DI6ICULTY A3ESS+ PR9T$ MAT]IALS OR A RANGE ( PR9T$ MAT]IALS DI6ICULTY -PLET+ CLASS "W ON "T RELUCTANT 6USE L>GE PR9T &_/OR L[ VI.N DEVICES UNA# 6OBTA9 9=M,N AT GRADE LEVEL "? LI/5+ #AEE ,$UC,NAL ,IMPLIC,NS A#HE ,IF ! /UD5T _C R1D REGUL> PR9T1 !N A3OMMOD,NS W 2 NE$$4 ,IF ! /UD5T _C -PREH5D 9=M,N "? LI/5+ AT GRADE LEVEL1 DIRECT 9/RUC;N W 2 NE$$ 6IMPROVE LI/5+ SKILLS4 ,EXAMPLES ( IMPLIC,NS = R1D+ & LI/5+ F ! ,,FVLMA ,REPORT =M >E LI/$ 2L4 .,R1D+ .& .,LI/5+ 79DICATES PRIM>Y MODE ( R1D+1 LEVEL ( LI/5+ SKILLS1 & A3ESS 6-PUT] MONITOR7 7#AA BLANK L9ES7 ,USE FOLL[+ M$IA3 REGUL> PR9T REGUL> PR9T ;W_/ ,,LVD L>GE PR9T REGUL> PR9T ;W_/ ,,CCTV BRL AUDIO ,RE/ EYES Z NE$$ ,MODIFY &_/OR %ORT5 ASSIGN;TS ,ALL[ 6*OSE "W+ 4T.E ,RECOMM5D L[ VI.N EVALU,N ,TRA9 9 USE ( PRESCRIB$ ,,LVD ,5C\RAGE USE ( ,,LVD ,MAY B5EFIT F L9E M>K] #HF ,NE$S L>GE PR9T_/BRL /&>DIZ$ TE/S ,EXTRA /ORAGE SPACE = BOOKS_/EASY A3ESS ,REQUIRES L>G] "W SPACE ,AVOID L;G P]IODS ( R1D+ ,9CR1SE R1D+ SPE$_/A3URACY ,REF] = ASSI/IVE TE*NOLOGY EVALU,N ,NE$S 5L>G$ PR9T ON -PUT] SCRE5 ,MAY B5EFIT F SCRE5 5L>G] ,T1* OP],N ( AUDIO EQUIP;T ,T1* LOCALIZ,N & SCANN+ ,O!R ---- ,O!R ---- ,MAY B5EFIT F BOOK/& ,T1* ASS]TIVE;S RE3 NE$S TE/S ,EXT5D "T 6-PLETE ASSIGN;TS ,EXT5D "T = TE/S 7IF ALL[$7 ,9CR1SE LI/5+ -PREH5.N ,MAY B5EFIT F VOICE \TPUT ,ADJU/ -PUT] FONT SIZE OP;NS ,ADJU/ -PUT] A3ESSIBIL;Y SCRE5 OP;NS ,T1* PRO(R1D+ SKILLS ,T1* SKILLS = US+ LIVE R1D] ,REQUIRES FUR!R BRL SKILLS ASSESS;T ,O!R ---- #AEG ,O!R ---- A#HF