Group Project Check-In: Assessment Report

As a group, complete this weekly check-in form regarding group participation in the project. This will serve to keep you on track with the project and keep each other accountable for the work being completed.

Written Summary (should include information about current behavior, target behavior and specify hypothesized function)

Upload a copy of a written summary of your completed assessment. Please complete the following template:

Target Behavior (include operational definition, measurement and mastery criteria):

Name of Assessment:

Date of Assessment:

Assessor (who conducted the assessment):

Participant (who’s responded to the assessment):

Assessment Tool (what assessment(s) was used):

Rationale (why did you chose the assessment):

Assessment Utilization (how the assessment was used, setting events, conditions, etc):

Baseline Data Summary (graphic display required):

(baseline data is current levels of behavior WITHOUT intervention)