Summons and Stop Data

Name: ________________________ Month/Year: ________________ Observer: ____________________

Program Level Codes

1. Stop from < 5 feet I= Complied with first prompt
2. Come here from < 5 feet P= Complied after second prompt
3. Stop from 5-10 feet M= Complied with more than 2 prompts
4. Come here from 5-10 feet R= Refused to comply
5. Stop from > 10 feet
6. Come here from > 10 feet

Date Level Code Date Level Code Date Level Code

Kathryn Whitaker Practical Autism Resources