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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