Student:

Teaching Aid: (+) when completed task with a directive prompt (independent)
(-) when incorrect answer
(P) when requires extra prompts or one-one assistance
Goal:
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
Sept.

Prompts: (+) (-) (P) Prompts: (+) (-) (P)

Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
Oct.
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:

Nov.

Prompts: (+) (-) (P) Prompts: (+) (-) (P)

Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
Dec.
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
Jan.
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Feb. Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
 Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
March
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
April
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
May
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%
Date: Date:
Staff Initials: Staff Initials:
Observation Notes: Observation Notes:
June
Prompts: (+) (-) (P) Prompts: (+) (-) (P)
Accuracy: Accuracy:
____ out of ____ Trials OR ________% ____ out of ____ Trials OR ________%