Quick ABC Data Form with Duration

Date: ________________Student: _______________ Observer: ________________________

Time Location Activity at Trigger / Antecedent Behavior Consequence Duration Comments
(circle) Onset
Transition (hallway) Independent work Interruption Refusal Ignore 0-1 min
Classroom Exercise Task demand Drop to floor Verbal Redirect 1-5 min
Special: _________ Transition to low preference Out of bounds Adult attention 5-10 min
Resource Room Deskwork ________ Transition from high Threats/ Name calling Escape area 10-15 min
Outside Speech preference Property destruction Avoid/delay activity 15+ min
Computer lab Computer Adult Demand Crying/yelling Other:
Lunch Request denied Other:
Lunch Room
Recess Other:
Bathroom Hygiene
Other:
Transition (hallway) Independent work Interruption Refusal Ignore 0-1 min
Exercise Task demand Drop to floor Verbal Redirect 1-5 min
Classroom
Special: _________ Transition to low preference Out of bounds Adult attention 5-10 min
Resource Room Deskwork ________ Transition from high Threats/ Name calling Escape area 10-15 min
Recess Speech preference Property destruction Avoid/delay activity 15+ min
Lunch Room Computer Adult Demand Crying/yelling Other
Bathroom Lunch Request denied Other:
Recess Other:
Other: Hygiene

Transition (hallway) Independent work Interruption Refusal Ignore 0-1 min

Classroom Exercise Task demand Drop to floor Verbal Redirect 1-5 min
Special: _________ Transition to low preference Out of bounds Adult attention 5-10 min
Resource Room Deskwork ________ Transition from high Threats/ Name calling Escape area 10-15 min
Recess Speech preference Property destruction Avoid/delay activity 15+ min
Lunch Room Computer Adult Demand Crying/yelling Other
Lunch Request denied Other:
Bathroom
Recess Other:
Other: Hygiene

Transition (hallway) Independent work Interruption Refusal Ignore 0-1 min

Exercise Task demand Drop to floor Verbal Redirect 1-5 min
Classroom
Special: _________ Transition to low preference Out of bounds Adult attention 5-10 min
Resource Room Deskwork ________ Transition from high Threats/ Name calling Escape area 10-15 min
Recess Speech preference Property destruction Avoid/delay activity 15+ min
Lunch Room Computer Adult Demand Crying/yelling Other
Lunch Request denied Other:
Bathroom
Recess Other:
Other: Hygiene

Cash-ins
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Time
# Tokens
Reward

Adapted from Linda Mulley, Practical Autism Resources