Goal Attainment Scale Worksheet

Student: __M. L______________________________ Todays Date:

_03/22/2017________

Grade: __Kindergarden____ Gender: __x_ Male

__ Female

Educator: _Monika
Chomicka________________________________________________

Target Behaviours: Social Skills

________________________________________________

Goal Attainment Scale with Descriptive Criteria:

+2 | most favourable outcome |

Shares toys with peers during playtime, independently (without educator
support)
______________________________________________________________________________

+1 | more than expected |

Shares toys with peers during playtime, immediately after educators
prompts/instructions

0 | expected level of success |

Shares toys with peers during playtime with some educators support and
prompts, after taking time to processes instructions (approximately 1
minute)

-1 | less than expected |

Refuses to share toys with peers during playtime (after educators
instructions, prompts and 1 minute of processing time)
______________________________________________________________________________
-2 | most unfavourable outcome |
Grabs toys out of peers hands during playtime and refuses to share
______________________________________________________________________________

Graph of Progress:

+2
+1
0
-1
-2
Day 1 2 3 4 5 6 7 8 9 10