Child’s Name:  ____________________                      Observer: _____________

Target Behavior:  __________________

Definition:  ______________________________________________________

________________________________________________________________

________________________________________________________________

Estimated frequency of behavior per hour:

 

Initial goal for behavior reduction:  (e.g., reduce by 50%, reduce to 5 per hour, etc.)

 

Situations where behavior tends to occur:

 

Situations where behavior does not tend to occur:

 

Primary function/motivation:

 

Adaptive alternative behavior to teach:

 

Potential reinforcers for good behavior:

 

Ideas for preventing target behavior from occurring:

 

 

 

Ideas for intervening once target behavior occurs (step-by-step)

 

 

 


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