Student: ___________________ Date: _________ Time of Occurrence: _________
Location of Occurrence: ____________ Person Completing Report: _______________
WHAT WAS THE BEHAVIOR?
· What did the student DO?________________________________________________________________________ · What did the student SAY? _______________________________________________________________________
PRIOR TO THE BEHAVIOR…
· What was I (the teacher) DOING? _________________________________________________________________ · What was I SAYING? ____________________________________________________________________________ · WHAT was I teaching? ____________________ HOW was I teaching it? ______________________________ · What SUBJECT was being taught? ________________________________________________________________ · What were the EXPECTATIONS? ________________________________________________________________ AND have you seen the student reliably perform those expectations? (describe) ________________________ · WHO was in the room? _________________________________________________________________________ · WHO was in close proximity to the student? ______________________________________________________ · What was the STUDENT doing? _________________________________________________________________ · What were PEERS doing? ________________________________________________________________________ · What was/were OTHER ADULT(s)/ EDUCATIONAL ASSISTANT(S) doing? _________________________
AFTER THE BEHAVIOR OCCURRED…
· What did I (the teacher) DO? _____________________________________________________________________ · What did I (the teacher) SAY?_____________________________________________________________________ · Did I MOVE? ____ If so, where? (CLOSER TO/AWAY FROM student) _____________________________ · What did peers DO? ______________________________ What did peers SAY? ___________________________ · Did they MOVE? _____ If so, where? (CLOSER TO/AWAY FROM student) __________________________ · What did other adults/educational assistants DO? ____________________________________________________ · What did other adults/educational assistants SAY?____________________________________________________ · Did they MOVE? ____ If so, where? (CLOSER TO/AWAY FROM student) ___________________________ · What did the student GET? _______________________________AVOID?________________________________ · What did the student DO IN RESPONSE? _________________________________________________________ · Did anyone get HURT? ________________________ Was there any DAMAGE to PROPERTY? __________ · How LONG did the behavior LAST? ___________
(COMPLETE ONE FOR EACH OCCURRENCE)
Behavior/ABCdata01.doc The LRE for LIFE Project 1/5/01