Learning media assessment

Use

Use Form 2 with:

• pupils being assessed/reassessed for eligibility, including Year 1 and Early Years pupils
• pupils with suspected change in sensory functioning

Purpose

• To determine a pupil's primary and secondary sensory channels

Access Form 2

Hard copy

Form 2 (PDF) for print or download and completion as hard copy

Complete and save/print

Form 2 (form) for completion online and then print or save to your own device. [No information is stored online.]

Examples

Here is an example of a completed Form 2 for a young pupil.

Here is an example of a completed Form 2 for an older pupil.

Guidance

Observers should be very careful to complete this form according to the guidance.

This form should only be used in conjunction with other parts of a comprehensive learning media assessment and should never be the sole source of information for decision-making regarding learning media.

This form contains confidential information and should be stored in accordance with confidentiality practices in your school/service/authority.