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Click ‘Get Form’ to open the behavior assessment form in the editor.
Begin by entering the client's name under 'Name' and your name under 'Observer'. This establishes who is being observed and who is conducting the observation.
Fill in the 'Dates Observed' section with the start and end dates of your observation period. This helps track when behaviors were noted.
Specify the 'Time Intervals' for your observations. This allows you to categorize behaviors based on specific times throughout the day.
List the 'Target Behaviors' you will monitor. Be clear and concise to ensure accurate tracking during observations.
As you observe, record each occurrence of target behaviors by entering data in the corresponding fields for date, event number, setting events, antecedents, actual consequences, and perceived functions.
After completing your observations, analyze patterns of behavior noted in the form to gain insights into triggers and functions of behaviors.
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Behavioral Health Toolkit for Primary Care Providers
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