Interval And Time Sampling Data Form

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Interval and Time Sampling Data Form
15 minute observation period
10 second intervals
Student ____________________________ Date ___________________
Setting/Activity _______________________________________________
Observer __________________________________
Check Method Used:
____
Momentary Time Sampling (behavior occurred at end of interval)
____
Partial Interval (behavior occurred during any part of the interval)
____
Whole Interval (target behavior occurred during the entire interval)
Start Time: ______ Stop Time:_____ Interval Length: _____ (seconds)
Behavior
Behavior
Code(s)
Definition(s)
_____________________________________________________________
___________________________________________________________
____________________________________________________________
Minute
10 Second Intervals
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Notes: ______________________________________________________
____________________________________________________________
____________________________________________________________

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