Student Observation

• Student Code

• Date

• Case manager

• Conducted on

  Date

• Support Staff

Activity

Activity

• Activity:

• Select date

  Date

• Response expectations

  Select Listening Verbal Response Physical Response

  • Listening
  • Verbal Response
  • Physical Response
Observation Interval #

• Select Appropriate Behavior Unwanted Behavior

  • Appropriate Behavior
  • Unwanted Behavior

• Independent response

• Active participation

• Passive Participation

• Prompted response

• Active participation

• Passive Participation

• Topography of Unwanted Behavior

  Select Off Task / No response Error Stereotypy Disruption Aggression Property Destruction Self-Injury Other

  • Off Task / No response
  • Error
  • Stereotypy
  • Disruption
  • Aggression
  • Property Destruction
  • Self-Injury
  • Other

• Error correction was implemented

• Responded correctly during error correction

• Physical Stereotypy

• Verbal Stereotypy

• Physical Disruption

• Verbal Disruption

• Required Adult Redirection

• Independently returned to task

• Returned to task after...

  Select 10 seconds 15 seconds 30 seconds 1 minute 5 minutes 10 minutes 15 minutes

  • 10 seconds
  • 15 seconds
  • 30 seconds
  • 1 minute
  • 5 minutes
  • 10 minutes
  • 15 minutes

Summary & Recommendations

• Summary of Observation

• Recommendations

• Daniel Smith

  Sign