SQ) DENVER PUBLIC SCHOOLS Baseline \ Department of Student Services Intervention Peer Behavior Comparison Form suent name: “Copy Grade:__| today's bate:_ 1/2/14 soroot: Desison Arsl@tsey __reacner “Ag. Jones! —obsener: Andro Alber t> Purpose of observation/Behavior Concerns: Instructional Method surject! vlerealor RetM iss size start Time:_2'05 Observation Codes Interval Time:_ 0.6 ‘A= Aapropriate Working/Sehavior © crying king I Leaving room/ares/bulling (= Out of Seat/wandering B= NA = Non fytapnit< giggly, Bic | F=Fidgeting Te inactive Teacher Reponses ncompliance “+= Positive Teacher Response (Encouragement/Support) | rbal Ageression (yelling, swearing, threatening) == Negative Teacher Response (Redlrection/Correction) | = Physical Aggression (hiting, kicking, biting, throwing objects) | / = Neutral or No Teacher Interaction ] 318 1 fopralel to Groun © 3 . T ein 1 [FF [olol opal Ala fm] olin rae rfalalFlalalal alal tale Db alalah do] | wall ofa graces ] T ha 4 >| “4 — we 2 : R Bus Pol 7 sth [EDF] F rome? fr] BA Polling Shirt fate V 2 3 ~ x zs r Ba Ss b ‘ey Da a> > 7 b POTEET} aS ds = Blt ay GLP ELE d itm [>[> ]s Z| as P| Da eo =) Sf ain: Db . [=v ] Page |1f H 3 a = | i , O/O|S T A\AA|4 T T AIA AT |7 A\AlAlAI A|7|AIA A ] TIA| AKIAIALALAl Al ela Q DEKE alot Q xml QS] at] p= <=lyO a[<] [= =zf~] fF Lo {ss} (<= Six ofa] [=< Zl a : Ss] [ey] else OTs] Fee] Feil | OPS) PSS] Pape o}s/ (se F<) [sie [ S}a2yyel se Z/s] ee Gk Notes: Page |2Classroom Observation Form Interval Rec 10 Seconds \ sotonrame — COC eae Loe SUSIE schoot: Denison Aronlestor! teacher: MS, Sones” _observer:_Arhed Nark) purpose: Uritierhurel chiervetion — Rececs Instructional Method: Subject: Class Size: Observation Code: P_| Participating with Class independently | PP _| Participating in Preferred Activity Independently SW _| Working on Individual Task PPT _| Participating in Preferred Activity with Teacher Independently (seat work) Support ‘05 _| Out of Seat (wandering) PNP_| Participating in Non-Preferred Activity Independently PT | Participating in Class with Teacher PNT | Participating in Non-Preferred Activity with Teacher Support Support ‘SWT | Working on Individual Task with D_ | Distracted Teacher Support NP_| Not participating with class. Not doing | SO | Spacing Out what should Be or Not staying in = designated area (.e., at recess) PE| Choiay Lakpnkols POT | Participating with class but doing something else at the same time e | fl. u/ ois RII ia redirection, oneces PB RS] [aS Kithigy terre. Spade fr.|Ac) pl fo| fo [Pol |Po| tol Cala ape al & ala|e Aer (2 er ed tr | ee rf] eo ei Pale 4 5 Hidny Selou Cel & \o yes! om raion a -] POA pe ee Lela re re eo ele ad Ar Pee A 7 8 9 2 3 tz Pr ite |e flere fe Preval re, eipr Pe Rolling Snosbell RT Cibag te fo? RE Ret page 11 OF * Sibe weh “1 * Soe oo: Co oo: oo aid Ts gee ss - fe saa & SS Woo Co 4a & 0 * fete Ce CO: < i iT se te || ea a aly Sig =" OO * ecco OO. OO: Co oo zo & | |__| Fee 2 Cpe HTH Seta tel Ct ES atia gle & 1} “sta éfa} Hs 2s 25 #2 33 Soest Page | 2