Student Data Sheets for Independent Work

3 Drawer Independent Work Data Sheet Student: _____________________ School Year: __________________ Date: take task do task put in finished take task do task put in finished take task do task put in finished total time: open drawer 1 open drawer 2 open drawer 3 I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP I V PP FP Tasks: Prompt Key: I = Independent [the student required NO prompting] V = Verbal [you told the student to initiate, continue, or complete the step] PP = Partial Physical [you physically assisted the student in small way] FP = Full Physical [the student could not do this step & require full physical help] Drawer 1: Drawer 2: Drawer 3:

ABC Data Sheet Child s Name: _______________________________ School Year: _______________________ Target Behavior Definition: __________________________________________________________ antecedent behavior consequence start time: ______ end time: ________ What were you doing? What happened after? Date: notes: Where were you? Filled out by: Anything else? start time: ______ end time: ________ Date: What were you doing? What happened after? notes: Where were you? Filled out by: Anything else? start time: ______ end time: ________ Date: What were you doing? What happened after? notes: Where were you? Filled out by: Anything else? @ theautismhelper.com

Childs Name: _______________________________ School Year: _______________________ Target Behavior Definition: __________________________________________________________ Date Time Weighted Vest Ball Chair @ theautismhelper.com

ABC Data Sheet Child s Name: _______________________________ School Year: _________________________ Target Behavior Definition: __________________________________________________________ Date Time Staff Member Location work demand antecedents (what happened before?) social demand Check all that apply. transition alone preferred item taken away denied requested item other: hit kick behaviors push yell fall to floor other: ignored happened after?) consequences (what Check all that apply. @ theautismhelper.com given prompts/redirection break time time out other:

ABC Data Sheet Child s Name: _______________________________ School Year: _________________________ Target Behavior Definition: __________________________________________________________ Date Time Antecent Behaviors Consequence Notes ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) ____ alone ____ demand placed ____ transition ____ request denied ____ interruption ____ ignore ____ prompts/redirection ____ time out ____ change activity ____ break given Time: Notes: ____ 1-5 minutes ____ 5-15 minutes ____ 15 - 30 minutes ____ 30+ minutes Magnitude: Notes/frequency: ____ 1 (low) ____ 2 (medium) ____ 3 (highest) @ theautismhelper.com

ABC Checklist ABC Data Sheet Child s Name: _______________________________ School Year: _________________________ Target Behavior Definition: __________________________________________________________ date: time: Behavior (list specifics): Location: Activities: Antecedent (before): Consequence (after): @ theautismhelper.com