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):