Alex Student’s Name: Martin Luther King Day 12-2-17 School: Individual Completing Form: MS Teacher Time of Behavior (B) Antecedent (A) Consequence (C) Day & What did he or she What occurred before the How did you or others Activity do? behavior? respond? Bathroom 10 am Directed to use bathroom from adult Scratched adult's arm Moved away; gave a sensory toy and Layed on floor/took off waited for him to stand-up shirt Individual Work Time (ILP Asked to identify numbers "Give me 5" Tried to bite adult's arm and took off Told, "no biting." Removed the task for a Goals) 9:30 shirt minute then tried again. Individual Work Time (ILP Asked to sort categories of pictures Tried to bite and head-butt teacher in Told, "No biting". Removed task and Goals) 10:15 arm then kept trying and removing task until he ran away. Ended activity. Given a choice of water or sandwhich Dropped to floor and laid down Gave another choice and let eat on floor 12:00 Directed to go to bathroom. Hit teacher Told, "We don't hit. No!" Continued to 12:20 walk him to bathroom. Individual work time (ILP Goals) Asked to trace his name. Tried to bite teacher Allowed to take a brief break and bounce on the ball.
Student’s Name: Alex Individual Completing Form: Teacher School: Martin Luther King Day MS 12-2-17 Time of Day & Activity Antecedent (A) What occurred before the behavior? Behavior (B) What did he or she do? Consequence (C) How did you or others respond? Bathroom 10 am Directed to use bathroom from adult Scratched adult's arm Layed on floor/took off shirt Moved away; gave a sensory toy and waited for him to stand-up Individual Work Time (ILP Goals) 9:30 Asked to identify numbers "Give me 5" Tried to bite adult's arm and took off shirt Told, "no biting." Removed the task for a minute then tried again. Individual Work Time (ILP Goals) 10:15 Asked to sort categories of pictures Tried to bite and head-butt teacher in arm Told, "No biting". Removed task and then kept trying and removing task until he ran away. Ended activity. 12:00 Given a choice of water or sandwhich Dropped to floor and laid down Gave another choice and let eat on floor 12:20 Directed to go to bathroom. Hit teacher Told, "We don't hit. No!" Continued to walk him to bathroom. Individual work time (ILP Goals) Asked to trace his name. Tried to bite teacher Allowed to take a brief break and bounce on the ball.
ABC_scatter_plot_data_templates.docx