Name ___________________________________________________________________________________ Dates __________________/_____________________ Completed by ___________________________________________________

FEATURES
I (1) (1) (1)
Type of Symbol
Pre-Intentional Pre-symbolic
Pre-Intentional For Levels V, VI or VII, specify types Communicative Communication
Behavior Expresses Expresses Comfort Expresses Interest
Discomfort in Other People of symbols used (e.g., picture Behaviors
express
involves
communication
0-3 mo.
symbols, 3-dimensional symbols, states of well- through motor
being (Level I) and vocal
manual signs, speech) or have behaviors
communicative (Levels I-IV)
II (2) (2) (3) (2) functions
Intentional (Level II)
Behavior Protests Continues Obtains More Attracts
Action of Something Attention
3-8 mo.

III (3) (4) (5) (6) (7) (8) (3) (4) Intentional
Unconventional Communicative
Communication Refuses, Requests Requests Requests Makes Requests Requests Shows Behaviors
Rejects More New More Choices New Attention Affection express
6-12 mo. Action Action Object Object communicative
Intents
(Levels III-VII)

IV (5) (6) (7) (8) (1) (2)

Conventional
Communication Refuses, Requests Requests Requests Makes Requests Requests Shows Greets Offers, Directs Polite Answers Asks
Rejects More New More Choices New Attention Affection People Shares Another's Social Yes/No Questions
12-18 mo. Action Action Object Object Attention Forms Questions

V (8) (9) (3) (4) Symbolic

Concrete Communication
Symbols Refuses, Requests Requests Requests Makes Requests
Request Requests Requests Shows Greets Offers, Directs Polite Answers Asks Names Makes involves
Rejects More New More Choices Absent
New Absent Attention Affection People Shares Another's Social Yes/No Questions Things/ Comments communication
12-24 mo. Action Action Object Object
Object Object Attention Forms Questions People through the use
of symbols
(Levels V-VII)

VI
Abstract
Symbols Refuses, Requests Requests Requests Makes Requests
Request Requests Requests Shows Greets Offers, Directs Polite Answers Asks Names Makes
Rejects More New More Choices Absent
New Absent Attention Affection People Shares Another's Social Yes/No Questions Things/ Comments
18-24 mo. Action Action Object Object
Object Object Attention Forms Questions People

VII
Language
Refuses, Requests Requests Requests Makes Requests
Request Requests Requests Shows Greets Offers, Directs Polite Answers Asks Names Makes
24 mo. + Rejects More New More Choices Absent
New Absent Attention Affection People Shares Another's Social Yes/No Questions Things/ Comments
Action Action Object Object
Object Object Attention Forms Questions People

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