"Quick Abc Data Form With Duration"

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Quick ABC Data Form with Duration
Date: ________________Student: _______________ Observer: ________________________
Time
Location
Activity at
Trigger / Antecedent
Behavior
Consequence
Duration
Comments
(circle)
Onset
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Outside
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Computer lab
Computer
Adult Demand
Crying/yelling
Other:
Lunch
Request denied
Other:
Lunch Room
Recess
Other:
Bathroom
Hygiene
Other:
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Recess
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Lunch Room
Computer
Adult Demand
Crying/yelling
Other
Lunch
Request denied
Other:
Bathroom
Recess
Other:
Other:
Hygiene
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Recess
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Lunch Room
Computer
Adult Demand
Crying/yelling
Other
Lunch
Request denied
Other:
Bathroom
Recess
Other:
Other:
Hygiene
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Recess
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Lunch Room
Computer
Adult Demand
Crying/yelling
Other
Lunch
Request denied
Other:
Bathroom
Recess
Other:
Other:
Hygiene
Cash-ins
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Time
# Tokens
Reward
Adapted from Linda Mulley, Practical Autism Resources
Quick ABC Data Form with Duration
Date: ________________Student: _______________ Observer: ________________________
Time
Location
Activity at
Trigger / Antecedent
Behavior
Consequence
Duration
Comments
(circle)
Onset
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Outside
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Computer lab
Computer
Adult Demand
Crying/yelling
Other:
Lunch
Request denied
Other:
Lunch Room
Recess
Other:
Bathroom
Hygiene
Other:
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Recess
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Lunch Room
Computer
Adult Demand
Crying/yelling
Other
Lunch
Request denied
Other:
Bathroom
Recess
Other:
Other:
Hygiene
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Recess
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Lunch Room
Computer
Adult Demand
Crying/yelling
Other
Lunch
Request denied
Other:
Bathroom
Recess
Other:
Other:
Hygiene
Transition (hallway)
Independent work
Interruption
Refusal
Ignore
0-1 min
Exercise
Task demand
Drop to floor
Verbal Redirect
1-5 min
Classroom
Special: _________
Transition to low preference
Out of bounds
Adult attention
5-10 min
Resource Room
Deskwork ________
Transition from high
Threats/ Name calling
Escape area
10-15 min
Recess
Speech
preference
Property destruction
Avoid/delay activity
15+ min
Lunch Room
Computer
Adult Demand
Crying/yelling
Other
Lunch
Request denied
Other:
Bathroom
Recess
Other:
Other:
Hygiene
Cash-ins
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Time
# Tokens
Reward
Adapted from Linda Mulley, Practical Autism Resources