It may depend on what the purpose of using a symbol for "yes" and "no" is. I think written words are certainly a good way to go, but I don't like to give up the "real estate" on a communication board or device for yes/no, when there are often so many other ways a student can indicate yes and no (gesture, facial expression, sign, blink, etc.) that are more efficient and still effective.
I have found these resources very helpful when thinking about yes and no:
From Project Core: https://www.dropbox.com/s/dl/h...
From Kate Ahern: http://teachinglearnerswithmul...
DeborahLesher - 11/2/2018