Behavior Tracking Checklist
Use this form to systematically record and evaluate observed behaviors during a session.
Participant Full Name
*
First Name
Last Name
Observer Full Name
*
First Name
Last Name
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Observation
*
Activity During Observation
*
Behavior Tracking Table
*
Rows
Observed
Frequency
Comments
Follows instructions
1
Never
Rarely
Sometimes
Often
Always
Stays on task
2
Never
Rarely
Sometimes
Often
Always
Interacts appropriately with peers
3
Never
Rarely
Sometimes
Often
Always
Respects personal space
4
Never
Rarely
Sometimes
Often
Always
Responds to redirection
5
Never
Rarely
Sometimes
Often
Always
Demonstrates self-control
6
Never
Rarely
Sometimes
Often
Always
Transitions between activities smoothly
7
Never
Rarely
Sometimes
Often
Always
Expresses needs appropriately
8
Never
Rarely
Sometimes
Often
Always
Listens attentively
9
Never
Rarely
Sometimes
Often
Always
Completes assigned tasks
10
Never
Rarely
Sometimes
Often
Always
Overall Behavior Rating
1
2
3
4
5
Additional Comments or Observations
Are there any triggers or patterns you noticed during the session?
Do you recommend any follow-up actions?
Submit Checklist
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