Teacher Behavior Log
Date: ____________ Time: _________ am/pm Setting: _____________________
Description of incident: (what happened, who was involved, during what activity, what triggered it, what was the outcome). ___________________________________________________________________________________ ____________________________________________________________________________________________
____________________________________________________________________________________________
Duration: _______ # of minutes. Intensity: low med. high
Was Time-out required: Yes No; If so how long _________
Comments:
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Date: _____________ Time: _______ am/pm Setting: ________________
Description of incident: (what happened, who was involved, during what activity, what triggered it, what was the outcome). ___________________________________________________________________________________ ____________________________________________________________________________________________
____________________________________________________________________________________________
Duration: _______ # of minutes. Intensity: low med. high
Was Time-out required: Yes No; If so how long _________
Comments:
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Date: ____________ Time: _______ am/pm Setting:_________________
Description of incident: (what happened, who was involved, during what activity, what triggered it, what was the outcome). ___________________________________________________________________________________ ____________________________________________________________________________________________
____________________________________________________________________________________________
Duration: _______ # of minutes. Intensity: low med. high
Was Time-out required: Yes No; If so how long _________
Comments:
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Copyright 2001, J.L. McDougal