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