Event Recording (Frequency / Behavior Count) Form
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1KIPBS Tools – Observation Forms – Event Recording (Rev. 3-9-06)
Event Recording (Frequency / Behavior Count) Form
T a r g e t P e r s o n ’ s Na m e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Person completing this form: ________________________________________________
Location: _________________________
Date(s): ___________________________
Procedures:
* Write down the behavior that you will be looking for and its definition
* E v e r y t i m e t h a t y o u a r e “ o n t h e l o o k o u t ” f o r t h e b e h a v i o r :
Write down the date
Write down the time
Make a tally mark every time that the beha v i o r o c c u r s ( i f t h e b e h a v i o r d o e s n o t o c c u r , m a k e s u r e t o e n t e r “ 0 ” –
zero)
At the end of your observation period, total the number of tally marks for that day (if using a different method
to keep track of behavior, enter the total in the Total column) (This is what you graph)
Behavior Definition (in specific, observable, measurable terms):
______________________________________________________________________
______________________________________________________________________
Date
Time
Tally every time that the behavior
Total number of times
occurs
behavior occurred
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Parent category: Education