Behavior Log Child'S Template

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The Hobbs Family Child Development Center
BEHAVIOR LOG
Child’s Name: ___________________
Observer: _______________________
Date: ____________ Time: ________
Trigger:
Child is Seeking:
Behavior Observed:
__Transition
__Attention/Connection
__Defiance/running away
__Peer Conflict
__Stimuli
__Hurting Others
__Asked to Follow Directions
__Attention from Peers
__Throwing Objects
__Diverted Teacher Attention
__Control
__Yelling
__Other: ________________
__Other: ______________
__Disturbing Others
__Other:________________
Techniques Employed:
Result:
__Sensory Box
__Validated Feelings
__Positive/Responded Well
__Quiet Area
__Problem-Solving Choices
__
Duration of Agitation Reduced
__Redirection
__Shadowing Child
__Child Regrouped Self
__Concerned Questioning
__Held Gently/Sensory Diversions
__Unable to Improve Mood
__Reboot Walk
__Other:____________________
__Other:________________
Date: ____________ Time: ________
Trigger:
Child is Seeking:
Behavior Observed:
__Transition
__Attention/Connection
__Defiance/running away
__Peer Conflict
__Stimuli
__Hurting Others
__Asked to Follow Directions
__Attention from Peers
__Throwing Objects
__Diverted Teacher Attention
__Control
__Yelling
__Other: ________________
__Other: ______________
__Disturbing Others
__Other:________________
Techniques Employed:
Result:
__Sensory Box
__Validated Feelings
__Positive/Responded Well
__Quiet Area
__Problem-Solving Choices
__
Duration of Agitation Reduced
__Redirection
__Shadowing Child
__Child Regrouped Self
__Concerned Questioning
__Held Gently/Sensory Diversions
__Unable to Improve Mood
__Reboot Walk
__Other:____________________
__Other:________________

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