Data Collection – Behavior and Attitude

Student Name: Date:

Person(s) Collecting Data:
Overall Behaviors AM PM
Listens quietly to directions 0 1 2 3 4 5 0 1 2 3 4 5

Follows directions accurately 0 1 2 3 4 5 0 1 2 3 4 5

Begins assignments promptly 0 1 2 3 4 5 0 1 2 3 4 5

Works quietly on assignments 0 1 2 3 4 5 0 1 2 3 4 5

Is cooperative 0 1 2 3 4 5 0 1 2 3 4 5

Gets instructors’ attention appropriately 0 1 2 3 4 5 0 1 2 3 4 5

Expresses anger appropriately 0 1 2 3 4 5 0 1 2 3 4 5

Disagrees appropriately 0 1 2 3 4 5 0 1 2 3 4 5

Accepts “no” as an answer 0 1 2 3 4 5 0 1 2 3 4 5

Accepts criticism or consequences
0 1 2 3 4 5 0 1 2 3 4 5
appropriately
0 = not at all; 1 = very little of the time; 2 = some of the time; 3 = half of the time; 4 = most of the time; 5 = all of the time

Student’s Behavior per Half Hour: On-task  Impulsive

8:30  Off-task +//- Attitude
9:00 12:00

9:30 12:30

10:00 1:00

10:30 1:30

11:00 2:00

11:30 2:30

Lunch and Medicine – about 12:00 3:00

Please use back for Anecdotal Notes