Functional Assessment Scatterplot
Student______________________________________ Grade__________________ School____________________________________________
Dates____/ ____/ ____ to ____/ ____/ ____
Observer(s)_______________________________________________________________
_______________________________________________________________
Behavior(s) of Concern____________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Setting__________________________________________________________________________________________________________________
Activity
Time
Day of the Week
Total
Wednesday
Monday
Tuesday
Thursday
Friday
Total
Sources: Gable, Quinn, Rutherford, and Howell (1998)