Clipboard Surveys

The Clipboard Survey is a strategy that provides students with autism a structured way to initiate an interaction with a peer. The survey format enables students to “interview” their classmates. For younger children, provide pictures of the other children in the class. The child taking the survey can match the pictures to the children, and then ask the survey question: For example, “Do you like cats or dogs?” The clipboard survey provides a tool for the child on the autism spectrum to interact with his peers in a structured, predictable way.

The clipboard survey provides a tool for the child on the autism spectrum to interact with his peers.

• Child's Age: 3-5, 6-10, 11-13, 14-17, 18+
• Planning Effort: Low
• Difficulty Level: Easy

Can match pictures of students to the student

 

Can record survey responses

1. Create simple survey questions (i.e. favorite color, food, pet, shape, etc.) Copy the survey onto paper and laminate.

2. Laminate small pictures of each child in your classroom.

3. Clip the survey to a clipboard.

4. Attach the pictures of the children to the bottom of the clipboard.

5. Identify the student to be responsible for gathering information for the survey.

6. The survey taker asks the survey question, hands the child his/her picture and waits for him/her to answer by placing his/her picture into the space beside the answer to the question.

7. The pictures of the students give a visual cue of who to ask and also serve as the method for answering the question.