A social communication survey is conducted by the leading communication experts in order to investigate someone’s efficiency of altering, transmitting and communicating with others.

Sample Social Communication Surveys:

Name of the child: ___________________

Date of birth: ___/____/____

Age: ___________________

Father’s Name: ___________ Occupation: _____________

Mother’s Name: __________ Occupation: _____________

Q1. Please tell us your purpose of participating in a social communication survey:


Q2. Does your child face certain problem in communicating with people?

  • Yes
  • No

Q3. Does your child speak the local language and give verbal expressions correctly?

  • Yes
  • No

Q4. How accurate does your child repeat the words & phrases uttered by someone else?


Q5. Please rate the ability of your kid in picking verbal rhythms and identifying language notations?

  • Very effective
  • Good
  • Average
  • Poor

Q6. Does your kid understand the sentences and use them in proper manner?

  • Yes
  • No

Q7. How often the communicational skills of your kid being evaluated by the social communication expert?


Q8. Are you seeking the help of some communication expert?

  • Yes
  • No

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