Video Modeling Survey

Survey for Parents and Educators of Children with Autism. Next month, the topic of our newsletter will be video modeling, and we'd like to know if and how you've used video modeling for students with autism. Results of the survey will be published in the next two issues. If you have more than one child or student that you've used video modeling with, please feel to complete the survey multiple times (once for each student). Thank you for your time!

Name:
(optional)

E-mail Address:
(optional)

How old is your child or student?

3 and Under
4 to 8
9 to 12
13 to 16
17 to 20
21 or Older


What is your student's diagnosis?

Autism
Asperger's Syndrome
PDD-NOS
Other


What behavior or skills did you target using video modeling?


How did you use video modeling?
Examples: child watched a video of sibling sitting at the table for dinner, or student watched a video of himself sitting nicely at circle time, and was provided with stickers for "nice sitting" for appropriate behavior after watching the video.


Were you satisfied with video modeling? Would you use it again?


Any tips for parents or educators who are considering video modeling?




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