35. What learning strategies or assistive technology do you find most helpful? (e.g. mind
mapping, flashcards, colour coding, tape recorder, voice synthesis computer...)
______________________________________________________________________________
______________________________________________________________________________
Do you have access to computer technology at home?
Yes 
No
No
36. What other comments would you like to make regarding your schooling or any of the problems that you face when you are learning?
______________________________________________________________________________
______________________________________________________________________________
Language and Developmental History
37. What language is spoken at home?
1st_________________ 2nd__________________
38. What language were you schooled in? __________________________________________
39. If other than English, did you have trouble learning to read and write in your first language?
Yes
No
Not applicable
No
Not applicable
40. Do you need to translate back and forth between English and your native language while doing schoolwork?
Yes
No
Not applicable
No
Not applicable
41. Did you have any difficulty learning to talk?
Yes
No
No
42. Did you receive any Speech and Language Assessment or Therapy?
Yes
No
No
If yes, please describe: ___________________________________________________________
43. Did your birth history include any of the following complications?
Premature birth
Low birth weight (< 3 lbs.)
Respiratory Distress
Low birth weight (< 3 lbs.)
Respiratory Distress
Yes
No
Yes
No
Yes
No
No Yes
No Yes
No 44. Did you receive an Occupational Therapy Assessment or Training for difficulty with fine motor skills?
Yes
No
No
If yes, please describe: ___________________________________________________________
