Art 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 Lunch 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 Other: ______ 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 Average ________ ________ ________ ________ ________ 3= ; 2= ; 1= ; 0=cooperative response Sample Behavior Rating Scale 2 Play Behavior Child’s Name: _____________________ Week of: _________ Time: ___:___--___:___ Indicate play behavior at the beginning, middle, and end each play period. Summarize play behavior by placing totals in summary column. Day/Activity Beginning Middle End Summary Date:_______ ___Not playing ___Not playing ___Not playing ___Not playing ___Play with toy ___Play with toy ___Play with toy ___Play with toy alone alone alone ___Play with toy ___Play with toy ___Play with toy ___Play with toy with peer with peer with peer with peer Date:_______ ___Not playing ___Not playing ___Not playing ___Not playing Activity:_____ ___Play with toy ___Play with toy ___Play with toy ___Play with toy alone alone alone alone ___Play with toy ___Play with toy ___Play with toy ___Play with toy with peer with peer with peer with peer Date:_______ ___Not playing ___Not playing ___Not playing ___Not playing Activity:_____ ___Play with toy ___Play with toy ___Play with toy ___Play with toy alone alone alone alone ___Play with toy ___Play with toy ___Play with toy ___Play with toy with peer with peer with peer with peer Weekly Total
Art 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 Lunch 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 Other: ______ 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 Average ________ ________ ________ ________ ________ 3= ; 2= ; 1= ; 0=cooperative response Sample Behavior Rating Scale 2 Play Behavior Child’s Name: _____________________ Week of: _________ Time: ___:___--___:___ Indicate play behavior at the beginning, middle, and end each play period. Summarize play behavior by placing totals in summary column. Day/Activity Beginning Middle End Summary Date:_______ ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer Date:_______ Activity:_____ ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer Date:_______ Activity:_____ ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer ___Not playing ___Play with toy alone ___Play with toy with peer Weekly Total
Users%20Manual%20Rev1209.docx