Ethnographic Interview Form (FILLABLE PDF)

This 6-page ethnographic interview FILLABLE PDF form is perfect for the culturally responsive related service provider/educator (SLP, OT, PT, SPED instructor, etc.). Contains open-ended questions that address the thoughts and perspectives related to: education, home life & routines, and therapy & support. 

Made by 2 SLPs, this form is concise, well-designed, and perfect for sending via Drive, Cloud, email, etc. to get timely parent/caregiver responses (should you be unable to conduct the interview in person)! 

Suitable for clinicians/therapists working in: schools, private practices, home care, EI, etc. This form was designed for therapists who treat a pediatric population (0-21 years).

What you will find in this fillable form:

• 6 total pages (2 additional pages of resources & terms)
• Statement to parent addressing the purpose and importance of ethnographic interviews
• Brief collection of parent and child contact information
• Open-ended questions related to Education
• Open-ended questions related to Home Life & Routines
• Open-ended questions related to Therapy & Support (contains questions specific to communication as well as mental/physical health and well-being)
• Additional fillable page for any additional comments or questions

Sample question in Education section: “In what ways do you think your child can best reach their educational goals? This can include learning and teaching approaches/styles.”

Sample question in Home Life & Routines section: “Please describe the beliefs/values your family finds most important:”

Sample question in Therapy & Support section: “What type of relationship are you looking for with your child's therapist? This may include communication/feedback preferences.”

Reasons to incorporate ethnographic interviews into practice:

• Build a positive relationships with your clients and their families
• Reduce existing biases
• Develop culturally responsive interventions
• Appropriately respond to speech and language differences vs. disorders

Ethnographic interviews can provide a more client-centered approach that actively considers the client's culture and value systems. When combining ethnographic information with traditional interview questions, related service providers can develop a broader understanding of their clients, their needs, and personalize treatment to benefit the individuals they serve.