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Use this when speech drops under stress, needs go unspoken, or other people keep guessing wrong because communication support is not matched to the situation. 请回想一下过去一个月里您的平均每周状况。
How often does communication get harder once stress, overload, or urgency rises?
Think fewer words, delayed responses, shutdown, scripting, or not being able to get the right words out in time.
How often do other people misread behaviour because the need was not communicated clearly?
Examples include pain looking like aggression, overload looking like refusal, or silence being treated as understanding.
How available are low-effort communication options besides speech right now?
Typing, texting, visuals, gesture, written choices, communication apps, or AAC all count if they are actually usable in the moment.
How much is communication difficulty affecting home, school, work, or community participation?
Think misunderstandings, not asking for help, unfinished appointments, social withdrawal, or needing others to interpret everything.
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