Student Reinforcement Survey (Page 3 of 3) in pdf

Student Reinforcement Survey Page 3

Activity Reinforcers

Coloring/drawing/painting

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Making things

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Going on field trips

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Taking care of/playing with animals

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Going shopping

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Eating out in restaurant

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Going to movies

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Spending time alone

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Reading

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Having free time in class

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Having extra gym/recess time

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Working on the computer

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Other (specify) _______________

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Social Reinforcers

Teaching things to other people



Being the teacher's helper

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Spending time with my friends

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Spending time with the teacher

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Spending time with the principal

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Spending time with ___________

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Having class parties

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Working with my friends in class

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Helping keep the room clean

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Being a tutor

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Being a leader in class

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Other (specify) _______________



Recreation/Leisure Reinforcers

Listening to music



Singing



Playing a musical instrument



Watching TV



Cooking



Building models



Woodworking/carpentry



Sports (specify) __________



Working with crafts

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Other (specify) __________

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Other (specify) __________

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Student Reinforcement Survey Page 3

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