ABCdatacollectiontemplate2.docx

ABC Data Assessment Form

Student’s Name:

Observer’s Name:

Please complete A‐B‐C data for each episode of target behavior.

Setting Information: (Where is behavior taking place?)

Target Behaviors and Operational Definitions:

Date/Time

Antecedent:

What happened before the behavior?

Ex: Given directions, student redirected, told “no,” loud environment, attention given to others, etc.

Behavior:

What did the student do?

Frequency, duration, etc. may also be included

Consequence:

What happened after the behavior?

Ex: Student referred to office, student given help, student time out 2 min., other students laughed, student is ignored, etc.