Behavior Reward Tracking Form
Record and monitor positive behaviors and reward progress efficiently.
Name of Person Being Tracked
*
First Name
Last Name
Date of Behavior
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Select the Positive Behavior
*
Please Select
Completed Homework
Helped a Friend
Followed Instructions
Showed Kindness
Stayed on Task
Other
Describe the Behavior (if 'Other')
Reward Type
*
Sticker
Extra Play Time
Small Toy
Certificate
Verbal Praise
Other
Points or Stars Awarded
*
Goal (Total Points/Stars Needed for Reward)
*
Current Progress Toward Goal
*
Just Started
1
2
3
4
5
6
7
8
9
Goal Achieved
10
1 is Just Started, 10 is Goal Achieved
Status of Reward
*
In Progress
Reward Earned
Reward Delivered
Additional Notes or Comments
Submit Entry
Should be Empty: