>10 min 5 5 5 5 5 5 5 5 5 5 8-10 min 4 4 4 4 4 4 4 4 4 4 5-7 min 3 3 3 3 3 3 3 3 3 3 Task 2-4 min 2 2 2 2 2 2 2 2 2 2 behavior Engagement 0-1 minute 1 1 1 1 1 1 1 1 1 1 10+ daily 5 5 5 5 5 5 5 5 5 5 7-9 4 4 4 4 4 4 4 4 4 4 4-6 3 3 3 3 3 3 3 3 3 3 2-3 2 2 2 2 2 2 2 2 2 2 problem behavior Tantrums 0-1/day 1 1 1 1 1 1 1 1 1 1 Johnny School: ______________ Student: KEY: 1. Rate your perception of the Johnny remains in his seat Task Engagement: amount of time with eyes focused on the teacher and/or work materials during independent academic work. 2. Tantrums: Rate your perception of the Johnny engages in screaming, kicking number of times furniture and/or people, and throwing objects (all 3 behaviors must be present).
Task Engagement behavior >10 min 8-10 min 5-7 min 2-4 min 0-1 minute 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Tantrums problem behavior 10+ daily 7-9 4-6 2-3 0-1/day 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Student: Johnny School: ______________ KEY: 1. Task Engagement: Rate your perception of the amount of time Johnny remains in his seat with eyes focused on the teacher and/or work materials during independent academic work. 2. Tantrums: Rate your perception of the number of times Johnny engages in screaming, kicking furniture and/or people, and throwing objects (all 3 behaviors must be present).
B5_Handout%20packet%20blank%20forms.docx