"Progress Monitoring Observation Form - Mustang Student Intervention System"

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Mustang Student
Intervention System
Progress Monitoring Observation Form
Baseline
Week 3
Week 6
Week 9
Week 12
Student _______________________Time ________ Observer ___________Date
Class Activity __________________
Whole-class
Small group
Independent
DIRECTIONS: 10 second, momentary time-sampling: Observe student once at end of interval, then record data. If
possible, collect full 15-minutes under same classroom activity. If not, put a slash when classroom condition changes.
1
2
3
Target Student
4
5
6
Target Student
7
8
9
Target Student
10
11
12
Target Student
13
14
15
Target Student
Productive zone of stress: student is alert and attending to the task at hand by looking at materials and/or
people involved in the instruction and learning; student is making motor movements that do not interfere with
the instruction or learning of others and that contribute to the required product (writing, moving about the
room for materials or group work, seeking attention or assistance); student asks questions or makes comments
that contribute to the required product or collective learning of others in the environment.
Codes: 
-
Productive
Non productive
student “ +”
% =
90
Notes:
Mustang Student
Intervention System
Progress Monitoring Observation Form
Baseline
Week 3
Week 6
Week 9
Week 12
Student _______________________Time ________ Observer ___________Date
Class Activity __________________
Whole-class
Small group
Independent
DIRECTIONS: 10 second, momentary time-sampling: Observe student once at end of interval, then record data. If
possible, collect full 15-minutes under same classroom activity. If not, put a slash when classroom condition changes.
1
2
3
Target Student
4
5
6
Target Student
7
8
9
Target Student
10
11
12
Target Student
13
14
15
Target Student
Productive zone of stress: student is alert and attending to the task at hand by looking at materials and/or
people involved in the instruction and learning; student is making motor movements that do not interfere with
the instruction or learning of others and that contribute to the required product (writing, moving about the
room for materials or group work, seeking attention or assistance); student asks questions or makes comments
that contribute to the required product or collective learning of others in the environment.
Codes: 
-
Productive
Non productive
student “ +”
% =
90
Notes: