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* 1. In what year did you receive your undergraduate degree?

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* 2. What is your highest degree? Please specify the year that you received that degree:

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* 3. What is your work zip code?

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* 4. What is your primary practice setting? Please check all that apply:

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* 5. What are the primary age groups that you serve? Please check all that apply:

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* 6. Please indicate your level of agreement with the following statements:

There are enough SLP’s with AAC knowledge to meet the needs of consumers.

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* 7. I had adequate preparation in AAC in my undergraduate and/or graduate program.

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* 8. SLP’s who include AAC in their practices are very knowledgeable about AAC intervention strategies, including but not limited to AAC technologies.

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* 9. What factors would increase the availability of SLPs with AAC skills? (Rank from 1 to 6 with 1 being the most important item in the list.)

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* 10. What are the most important factors in pre-service education that would result in more graduating students practicing AAC effectively? (Rank from 1 to 6 with 1 being the most important item in the list.)

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* 11. What are the most important factors and tools that would enable SLP’s to become more knowledgeable about AAC technology and intervention that incorporates AAC? (Rank from 1 to 6 with 1 being the most important item in the list.)

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* 12. What are the barriers to increased preparation in AAC? (Rank from 1 to 7 with 1 being the most important item in the list.)

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* 13. Please indicate your level of agreement with the following statements:

I am familiar with AAC systems & devices.

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* 14. I am familiar with the IDEA 2004 definition of Assistive Technology (AT) devices and services.

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* 15. I had adequate preparation in AT excluding AAC in my undergraduate and/or graduate program.

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* 16. I need to learn more about how to use tablets (iPad, etc.) and apps in my clinical practice.

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* 17. I am familiar with the requirements that all (not just blind) students who have print disabilities must have access to print instructional materials in an accessible format, free of charge.

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* 18. I am familiar with AT tools for adapting curriculum.

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* 19. Please complete the following statements:

I conduct AAC evaluations:

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* 20. I provide therapy that involves AAC:

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* 21. I see clients who might be candidates for AAC:

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* 22. Please share your level of interest in each of the following:

I would be interested in being a mentor (for AAC).

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* 23. I would be interested in being mentored to enhance my skills in AAC.

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* 24. I would like to know more about the range of AT devices and services that can help improve the learning and communication competence of clients on my caseload.

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* 25. A list of AT website and webinar offerings would be helpful.

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* 26. Finding AT that can meet the needs of students with Autism Spectrum Disorders is a priority for me.

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* 27. Who are your trusted sources for quality continuing AT training? (Rank from 1 to 10 with 1 being the most trusted source in the list.)

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* 28. I would be interested in more information and/or training on the following topics:

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