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Custom Data Sheet

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0% found this document useful (0 votes)
7 views8 pages

Custom Data Sheet

Uploaded by

cratner
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Student: Ryan Xie

Using Addition to Subtract

Data Collection Method: Opportunity Based


Goal: The student will solve word problems (addition, subtraction, multiplication, division, real world application)
Targets:
Will identify the known quantities within the word problem. ,
WIll identify the unknown quantities within the word problem. ,
Will write an equation that matches the word problem. ,
Will use an efficient strategy to solve and show his work.
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Writing a Narrative - 1

Data Collection Method: Opportunity Based


Goal: When given a passage on his instructional level, Student will produce a well-organized response to literature comprehension questions.
Targets:
When given a sentence starter, Ryan will complete the sentece and answer a factual question about the provided passage.
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 1 of 8
Student: Ryan Xie

Answering Reading Comprehension Questions

Data Collection Method: Opportunity Based


Goal: The student will read stories and respond to literal comprehension questions both orally and written.
Targets:
WIll orally read the passage independently with less than 5 errors. ,
Will verbally identify the setting by naming where AND when the story takes place. ,
Will identify the setting by naming where AND when the story takes place through a written response.,
Will verbally identify the main character.,
Will identify the main character through a written response.
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Following a Schedule

Data Collection Method: Opportunity Based


Goal: The student will get the needed supplies and complete the steps for developing and following a schedule.
Targets:
Baseline
Mastery Criteria: Min 10 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 2 of 8
Student: Ryan Xie

Labeling Value of Coin and Bill Combinations

Data Collection Method: Opportunity Based


Goal: The student will label the value of coin and bill combinations in varying amounts by counting to determine the total and reporting the
sum in terms of dollars and cents.
Targets:
When given a specific value under $1, Ryan will represent that value using three different coin combinations. ,
When given a specific value under $1, Ryan will represent that value using four different coin combinations. ,
When given a specific value in whole dollars up $10.00, Ryan will represent that value using two different bill combinations.,
When given a specific value in whole dollars up to $30.00, Ryan will represent that value using three different bill combinations.
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Using a Fork

Data Collection Method: Opportunity Based


Goal: The student will eat with a fork by holding the fork, piercing the food, and transferring food into mouth.
Targets:
Baseline
Mastery Criteria: Min 5 trials 80% across 2 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 3 of 8
Student: Ryan Xie

Using a Vending Machine

Data Collection Method: Task Analysis


Goal: When the student wants to get something from a vending machine or is instructed to use a vending machine, either by another person or
if it is in their daily schedule, they will get the needed supplies and use the vending machine.
Steps:
The student will approach the vending machine.,
The student will make a selection from the vending machine.,
The student will obtain the appropriate change (dollars or coins) for the selection made.,
The student will place the money in the vending machine.,
The student will place the money in the vending machine.,
The student will press the corresponding button or to enter the corresponding code for their selection. ,
The student will obtain their selection from the vending machine drop.,
The student will obtain change from the vending machine change slot.
Mastery Criteria: 100% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Understanding the Function of Safety Signs

Data Collection Method: Opportunity Based


Goal: When the student is in the community, they will be able to understand the function of safety signs and respond appropriately.
Targets:
Do Not Enter
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 4 of 8
Student: Ryan Xie

Following Classroom Routines

Data Collection Method: Task Analysis


Goal: The student will demonstrate following classroom routines by participating in each routine activity, completing routine tasks, and
transitioning appropriately from one activity to another.
Steps:
Locate locker,
Open locker,
Take off backpack,
Hang up coat,
Unzip backpack,
Take out lunch box and place on top shelf ,
Take water bottle and folder out of backpack,
Hang up backpack,
Enter room and place folder in designated location
Mastery Criteria: 100% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Following Multistep Instructions

Data Collection Method: Opportunity Based


Goal: The student will demonstrate following multistep instructions by following two or more instructions in the sequence in which they were
presented.
Targets:
Baseline
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 5 of 8
Student: Ryan Xie

Responding to and Initiating Greetings with Peers and Adults- PreK

Data Collection Method: Opportunity Based


Goal: When the student is approached by another person or the student approaches another person, they will initiate and respond to an
appropriate social greeting.
Targets:
Baseline
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Using a Napkin

Data Collection Method: Task Analysis


Goal: The student will use a napkin while eating by wiping excess food from around the mouth.
Steps:
Student takes napkin out of lunch box,
Student opens napkin up to full size,
Student places napkin in lap,
Student utilizes napkin to wipe hands and face when they are soiled,
Student discards napkin in trashcan when they are done with it. ,
Student gathers a second napkin if necessary
Mastery Criteria: 100% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 6 of 8
Student: Ryan Xie

Using a Spoon

Data Collection Method: Opportunity Based


Goal: The student will eat with a spoon by holding the spoon, scooping up food, and transferring food into mouth without assistance.
Targets:
Baseline
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Preparing a Shopping List

Data Collection Method: Opportunity Based


Goal: When the student needs to prepare a shopping list or is instructed to prepare a shopping list, either by another person or if it is in their
daily schedule, they will get the needed supplies and prepare the shopping list.
Targets:
Baseline
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 7 of 8
Student: Ryan Xie

Picture/Bar graphs (LF)

Data Collection Method: Opportunity Based


Goal: will interpret data on a bar graph
Targets:
Will read categories on the graph ,
Will interpret and count the totals of each provided category ,
Will answer "How many" for each category,
Will identify which category has the most ,
Will identify which category has the least,
When given two categories, will find the difference between the totals
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Elapsed Time word problems

Data Collection Method: Opportunity Based


Goal: Accurately calculate elapsed time.
Targets:
Elapsed time up to 10 minute intervals
Mastery Criteria: Min 6 trials 90% across 3 consecutive sessions

Target: Date:
1. + - 5. + - 9. + - 13. + - 17. + - Correct ________
2. + - 6. + - 10. + - 14. + - 18. + - Incorrect ________
3. + - 7. + - 11. + - 15. + - 19. + -
4. + - 8. + - 12. + - 16. + - 20. + -
Notes:

Page 8 of 8

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