Basic FBA to BIP Point Card Template Student Date Targeted Routine Time to Number of Intervals Interval Length (Number of minutes/interval) Expectations Scoring Intervals 1 2 3 4 5 6 TOTALS <time> <time> <time> <time> <time> <time> <reduce problem behavior/ increase 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 expected behavior> <reduce problem behavior/ increase 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 expected behavior > <use of replacement behavior OR 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 approximation of desired behavior> TOTALS /6 /6 /6 /6 /6 /6 /36 2 = Great! No problem. 1 = Needed a reminder 0 = Didn’t follow direction Goal = 80% - 29/36 Total Points = /36 Student Date Targeted Routine Time to Number of Intervals Interval Length (Number of minutes/interval) Expectations Routines/Class Period 1 2 3 4 5 6 TOTALS <time> <time> <time> <time> <time> <time> 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 TOTALS /6 /6 /6 /6 /6 /6 /36 2 = Great! No problem. 1 = Needed a reminder 0 = Didn’t follow direction Goal = 80% - 29/36 Total Points = /36 Daily Implementation Checklist Implementing Staff Date
Basic FBA to BIP Point Card Template Student Date Targeted Routine Time to Number of Intervals Interval Length (Number of minutes/interval) Expectations Scoring Intervals 1 <time> 2 <time> 3 <time> 4 <time> 5 <time> 6 <time> TOTALS <reduce problem behavior/ increase expected behavior> 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 <reduce problem behavior/ increase expected behavior > 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 <use of replacement behavior OR approximation of desired behavior> 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 TOTALS /6 /6 /6 /6 /6 /6 /36 2 = Great! No problem. 1 = Needed a reminder 0 = Didn’t follow direction Goal = 80% - 29/36 Total Points = /36 Student Date Targeted Routine Time to Number of Intervals Interval Length (Number of minutes/interval) Expectations Routines/Class Period 1 <time> 2 <time> 3 <time> 4 <time> 5 <time> 6 <time> TOTALS 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 /12 TOTALS /6 /6 /6 /6 /6 /6 /36 2 = Great! No problem. 1 = Needed a reminder 0 = Didn’t follow direction Goal = 80% - 29/36 Total Points = /36 Daily Implementation Checklist Implementing Staff Date