Outcome 2: Students achieve, to the best of their ability, a full repertoire of linguistic and communicative competencies to use with both deaf and hearing people.

______'s Communication Profile

(Name)

Qtr: ______Year: ______

Directions: When completing your profile, be specific and include details. If you completed a profile last year, review your answers to see how your communication has changed. Then complete this form. Your answers should be more in-depth with more details and examples.

I communicate most comfortably using ______because:

______

______

I communicate with my family using (check all that apply)

____ signing ___ writing ___ speaking ___ listening ___ gestures ___ lipreading

I understand family members ______% if the time because: ______

Family members understand me ______% of the time because: ______

I communicate with non-signing people using (check all that apply)

____ signing ___ writing ___ speaking ___ listening ___ gestures ___ lipreading

I understand non-signing people ______% if the time because: ______
Non-signing people understand me ______% of the time because: ______

If someone does not understand me: (check all that apply)

_____ I repeat what I signed/said

_____ I write or e-mail

_____ I gesture

_____ I use my voice

_____ I give up or get angry

_____ Other (describe) ______

If I do not understand someone: (check all that apply)

_____ I ask him/her to repeat what he/she signed/said

_____ I ask him/her to write

_____ I ask him/her to use different words (rephrase)

_____ I give up or get angry

_____ Other (describe) ______

If I get frustrated during communication I ______

______

______

If someone tries to tell me something I do not like I ______

______

______

______

When I communicate with an adult or am making a presentation, I change my communication by ______because

______

______

When I sign (or talk)

my pace is: too fast/fine/too slow because: ______

my fingerspelling is: too fast/at the right pace/too slow because: ______

When I sign (or talk), other people think

my pace is: too fast/fine/too slow because: ______

my fingerspelling is: too fast/at the right pace/too slow because: ______

my signs are clear: most of the time/some of the time/very little of the time because: ______

______

I do/do not use hearing aids, a cochlear implant, or assistive listening devices because: ______

______

______

______

Describe how you use the white pages and the yellow pages of a telephone book:

At home I have: (check all that apply)

______TTY ______TV with captions or a decoder ______visual smoke alarm ______flashing light for the phone ______flashing light for the front door ______e-mail

______alpha-numeric pager (e.g. Wyndtell pager) ______webcam

When I use written communication (note, e-mail, pager) I must remember to:

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Communication August 2003

© Copyright 2005 by the Laurent Clerc National Deaf Education Center, Gallaudet University