ABC DATA SHEET

Definition of Episode of Problem Behavior 🡪 The onset of problem behavior followed by a full 15 seconds after the behavior(s) has ceased.
Directions: For each episode of problem behavior (i.e., Ear covering → placing hands over ears for longer than 5 seconds, Head/eye diverting → turning head to the
side and/or covering eyes, and Inappropriate response → Not responding to someone or responding while walking away when someone attempts a direct interact) check
or note the setting the behavior , check or note what happened immediately before the behavior was emitted (i.e., antecedent), check or note ALL behaviors that are
emitted, and check or note how you responded to the behavior. Time the whole episode from start to finish and note at the bottom if longer than 1 min.
Date:_______ Initial: ___________ Time:___________

Setting Antecedent Behavior Consequence

❑ Hallway ❑ Transition/Daily Routine ❑ Ear Covering ❑ Corrective Feedback Given

❑ General Education classroom ❑ Access Denied/ Told No or outcome not ❑ Head/eye diverting ❑ Ignored problem behavior and continued with
as she desired activity

❑ Special Education classroom ❑ Wants something that is delayed (needs to ❑ Inappropriate response ❑ Choice Given
wait)
❑ Demand Replaced

❑ Special area (list): ❑ No interaction occurring/Attention on ❑ Other: ❑ Behavior Discussed

other

❑ Recess/Playground/outside ❑ Peer or Adult Interaction Occurring ❑ Break Given

(circle which)

❑ Lunch ❑ Demand to group ❑ Access to Item Blocked

❑ Other: ❑ Demand (individual) ❑ Change Activity to a more desirable

❑ Corrective Feedback Given ❑ Other

❑ Asked to make a choice

❑ MO is Unclear/Out of the Blue

❑ Other:

Duration:______

Date:_______ Initial: ___________ Time:___________

Setting Antecedent Behavior Consequence

❑ Hallway ❑ Transition/Daily Routine ❑ Ear Covering ❑ Corrective Feedback Given

❑ General Education ❑ Access Denied/ Told No or outcome not ❑ Head/eye diverting ❑ Ignored problem behavior and continued with
classroom as she desired activity

❑ Special Education classroom ❑ Wants something that is delayed (needs ❑ Inappropriate response ❑ Choice Given
to wait)
❑ Demand Replaced

❑ Special area (list): ❑ No interaction occurring/Attention on ❑ Other: ❑ Behavior Discussed

other

❑ Recess/Playground/outside ❑ Peer or Adult Interaction Occurring ❑ Break Given

(circle which)

❑ Lunch ❑ Demand to group ❑ Access to Item Blocked

❑ Other: ❑ Demand (individual) ❑ Change Activity to a more desirable

❑ Corrective Feedback Given ❑ Other

❑ Asked to make a choice

❑ MO is Unclear/Out of the Blue

❑ Other:
Duration:______
ABC DATA SHEET