Printable Documents
Contents
- Generic Data Sheets
- Program Organization
- Functional Behavior Assessment/Analysis
- Program Specific Data Sheets
Here you will find a variety of documents for printing and use within your programs: data sheets, planning matrices, and documents that just didn't work as well in any of the various on-line portions of this site.
You are welcome to download, print, and distribute these documents, as long as such distribution is done freely, not as part of a commercial package. If you would like to include them in a product or book you intend to sell, please write me at documents@polyxo.com. I ask, too, that when printing or copying these documents you leave the footers intact, so that the copyright information remains visible and that those using the documents will be able to find the newest versions on-line.
Many of the documents here are in Adobe's Portable Document Format (PDF) and will require the use of the Acrobat® Reader® software. It is freely available from Adobe.
If you've comments or questions about any of the documents found here please contact me. Also, feel free to send me your own data sheets or other documents.
Generic Data Sheets
Generic Data Sheet A (PDF, File Size: 19K)
Use this form to record data for behaviors that have a fairly static SD/Response pair, or a set of such static pairs. Examples might be recording an eye contact trial, rote personal information (answers to "What is your name?", "Where do you live?", and other such questions), block imitation, etc. This sheet holds 12 records; each record can represent anywhere from 1 to 20 trials. It includes fields for recording the SD to be delivered, the expected response, selected reinforcers, necessary materials for the program, and a preprinted key for some of the more common prompts used (verbal, modeling, and physical).
Generic Data Sheet B (PDF, file size: 21kb)
This form is essentially the same as Generic Data Sheet A, except that the response fields for each trial are pre-printed, so you can simply circle the symbol you want instead of writing in each field. There are seven records on this page; each can record anywhere from 1 to 20 trials.
Generic Data Sheet C (PDF, file size: 12kb)
Use this form to record data for instructional programs where you may be working systematically through a set of targets (for example, reading words, names of classmates, colors, shapes, etc.), and each item in the set is to be given only once per session. I typically list the program items down the left of the grid and the dates (or date and time, if the trial is done more than once a day) of the sessions across the top.
Monthly Data Sheets (PDF, file size: 15kb)
These are simple, but useful, graphs for tracking monthly progress with an instructional program. I like to stack all of my graphs vertically when I begin working with my month end data. That way, I can simply look straight down the columns and look for trends in behaviors and skills across specific days or spans of several day.
Chaining Data Sheet (PDF, file size: 10kb)
Chaining is the linking together of simple component behaviors into a more complex, composite behavior. Use this form to detail and track a child's performance through the steps of such a composite behavior. Up to fifteen steps can be detailed and tracked on this sheet (sheets can be combined if more steps are necessary).
Program Organization Sheets
Instructional Program Item List (PDF, file size: 6kb)
Use this document to list the items or sets of items that are to be included in a specific instructional program as well as the date of their introduction and mastery. Examples of individual program items might be a list of targeted reading words, board games, animals sounds, motor imitation motions, etc. You may wish to photocopy this page onto the back of an instructional program worksheet so you can keep the definition of the targets handy.
- Daily Anecdotal Notes (PDF, file size: 17kb)
This page was designed for school personnel to correspond with parents (and vice versa) in a notebook to be transported from home to school and back again with the child. However, I imagine that it (or an adapted version) could be used in a home program, if one is working with a variety of team members. This isn't designed to be a play-by-play type of diary, one that lists all activities, drills, etc. Rather, it's intended to give a general overview of some off the days more important happenings and a brief look at behavior and learning patterns.
- Planning Matrix A: Individual Objectives (PDF, file size: 7kb)
Use this planning matrix to record objectives -- communication, self-help, social, motor, and cognitive skills -- for an individual child in a simple, single-page format.
- Planning Matrix B: Objective Grouping (PDF, file size: 7kb)
This form is useful for grouping the objectives of a number of children in a single classroom, into the same five domains as above. This can help in planning activities to address the needs of a variety of children.
- Planning Matrix C: Event Grouping (PDF, file size: 7kb)
Use this form to group the objectives of a number of children by the typical, daily events in a classroom. This can help in deciding when to target teaching or reinforcement of a particular skill or behavior or when would be the most benefical time to gather data.
Functional Behavior Assessment/Analysis Sheets
Behavior observation forms (PDF, file size: 40kb)
Use these forms to quickly document observations of behaviors. Such observations can be a good first step in a functional behavior assessment or analysis. This document consists of reproducible data sheets -- two versions of an observation form, and a behavioral intensity rating scale -- as well as instructions for using those sheets.
Functional Behavior Assessment (PDF, file size: 14kb)
This document is used to take the observation of challenging, inappropriate, or ineffective behaviors a step further and begin to assess the function that the behavior serves for the child. This set of worksheets is designed to examine a single behavior (or type of behavior), form a hypothesis about the function of that behavior for the child, and design a behavioral intervention plan to address it.
Counting (PDF, file size: 17kb)
Record counting accuracy for any number of objects, 1 through 100.
