Log Observed Behavior
Record details about a specific behavior.
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Date
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Start Time
Stop Time
Behavior
Aggression (hitting, kicking)
Self-injury (biting, head banging)
Tantrum
Elopement (running away)
Verbal outburst
Repetitive behavior
Withdrawal
Property Destruction (throwing items)
Other...
Intensity of Behavior
Mild (easily redirected)
Moderate (disruptive but manageable)
Severe (danger to self or others)
Possible Triggers
Transition between activities
Loud noises
Sensory overload
Social interaction
Task difficulty
Denied Access
Other...
Intervention/Response
Was intervention/response effective?
Yes
No
Other...
Notes
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