Sample Progress Monitoring Form: Pmii Activity Observation For Young Children

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National Professional Development Center on
Autism Spectrum Disorders
Module:
Peer-Mediated Instruction and Intervention
Sample Progress Monitoring Form: PMII Activity Observation for Young Children
Date: _________________________
Time: ____________________________________
Focal child/children present: ________________________________________________________________________
Peers present: ___________________________________________________________________________________
Activity: _________________________________________________________________________________________
Activity
Yes
No
1. Did the children participate in the activity after your introduction?
2. Did the children seem to enjoy the activity?
3. Did the activity contain materials that promoted social interaction?
4. Did the activity promote positive or negative social interactions? Give examples.
______________________________________________________________________________________________
5. Did the children use the toys constructively or in a repetitive, non-useful manner? Give examples.
______________________________________________________________________________________________
6. What changes should be made in the arrangement of the play setting to improve social interactions (e.g., materials
used, introduction to the activity)?
______________________________________________________________________________________________
______________________________________________________________________________________________
PMII Module 7-23-2008
Page 1 of 2
National Professional Development Center on ASD
FPG Child Development Institute
The University of North Carolina at Chapel Hill

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