ABC Recording Form

Student: Grade Date:

Observer: Time:

Routine Trigger/Antecedent Behavior Outcome/Consequence

Teacher’s
observations
Activity/Task

# Time: Activity/Task Trigger/Antecedent Behavior Outcome/Consequence

1 Large group instruction Given task/asked question Adult Attention Provided
Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

2 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

3 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

4 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:
General Observation Notes:

# Time: Activity/Task Trigger/Antecedent Behavior Outcome/Consequence

5 Large group instruction Given task/asked question Adult Attention Provided
Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

6 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

7 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

8 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:

9 Large group instruction Given task/asked question Adult Attention Provided

Small group work Given directive/correction Peer Attention Provided
Independent work Isolated (No attention) Got Preferred Activity/Item
Unstructured time No activity/unclear directions Got Other ____________
Specify: Peer Comment Adult Attention Avoided
With Peers Peer Attention Avoided
Preferred activity removed Task/Activity Avoided
Transition: Change in activity Avoided Other ___________
Other/Notes: Other/Notes:
General Observation Notes:

# Time: Activity/Task Trigger/Antecedent Behavior Outcome/Consequence

Within each column (Activity/Trigger/Outcome) identify the most frequently observed event & write it next
For to #1 in the corresponding box below. Total the number of observed occurrences of #1 in the numerator of
counselor’s the ratio… & the total intervals observed in the ratio denominator (Ratio= # occurred / # total intervals)
use Activity/Task Trigger/Antecedent Behavior Outcome/Consequence
#1 #1 #1

Ratio ____ / _____ Ratio ____ / _____ Ratio ____ / _____