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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