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Student Behavior Documentation Worksheet
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Student Behavior Documentation Worksheet
📋 Part 1: Behavior Identification
1. Check all problem behaviors exhibited by the student:
Calling out/talking without permission
Leaving seat without permission
Not following directions
Disrupting others' learning
Inappropriate physical contact
Refusing to complete work
Arguing with teacher/peers
Other: ________________________
2. Select the PRIMARY behavior of concern:
Academic non-compliance
Social disruption
Attention-seeking behavior
Defiant behavior
Other: ________________________
3. Provide a detailed, objective description of ONE specific problem behavior (what exactly did you observe?):
🏫 Part 2: Environmental Context
4. Describe the physical environment where the behavior occurred:
Classroom setup: _________________________________________________
Number of students present: _________ Time of day: _____________
Activity type: Check one:
Independent work
Group work
Whole class instruction
Transition time
Other: ________________________
5. What were the instructional expectations at the time of the behavior?
6. What were the behavioral expectations communicated to students?
🎯 Part 3: Analysis and Next Steps
7. What happened immediately BEFORE the behavior? (Antecedent)
8. What happened immediately AFTER the behavior? (Consequence)
9. Possible function of the behavior (check all that may apply):
Attention-seeking
Avoidance/escape from task
Access to preferred item/activity
Sensory stimulation
10. Recommended interventions or supports to try:
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