Sample Forms for Reinforcement Sample Reinforcement Menu Reinforcement Menu Function of Tangible Activity-Based Social Intangible Behavior Extra time on Partner reading Escape/Avoid computer, instead of silent reading reading, time preferred activity instead of typical task Tokens, stickers, Partner Tell a joke, lunch Verbal praise, Attention posters, prize from reading, with teacher, smiles, a prize box, snack allowed to be a positive phone call thumbs-up, or favorite food leader, given a home, game with a giving eye item (if classroom job, friend, being a peer contact, appropriate), assisting model for a positive coloring page, secretary or younger student comments books teacher written on work Sample Data Collection Tools Data Collected by: Frequency, Duration, or Intensity (circle type used) Problem Behavior: Setting Events: Antecedents: Consequence: Possible Function: Section for Collecting Data on Frequency Start Time: End Time:
Sample Forms for Reinforcement Sample Reinforcement Menu Reinforcement Menu Function of Behavior Tangible Activity-Based Social Intangible Escape/Avoid Extra time on computer, silent reading time Partner reading instead of reading, preferred activity instead of typical task Attention Tokens, stickers, posters, prize from a prize box, snack or favorite food item (if appropriate), coloring page, books Partner reading, allowed to be a leader, given a classroom job, assisting secretary or teacher Tell a joke, lunch with teacher, positive phone call home, game with a friend, being a peer model for a younger student Verbal praise, smiles, thumbs-up, giving eye contact, positive comments written on work Sample Data Collection Tools Data Collected by: Frequency, Duration, or Intensity (circle type used) Problem Behavior: Setting Events: Antecedents: Consequence: Possible Function: Section for Collecting Data on Frequency Start Time: End Time:
Sample_Reinforcement.docx