Applied Sciences Signature Assignment
Functional Analysis Data Sheet Conduct sessions as described below and in the listed sequence (Session #1=Alone, #2=Attention, etc.) Add a Tangible condition only if it is strongly suspected that problem behavior is maintained by access to tangibles. Each session should last for 10 minutes. Record either the # or the rate of problem behavior (PB) in each session, and summarize as the mean per condition. Alone: Begin session: Student is alone in a room with no access to attention or leisure items.
If PB: No consequences.
Attention: Begin session: Inform student that you are busy; then ignore. If PB: Deliver a mild reprimand, statement of concern, physical comfort, then ignore again.
Play: Begin Session: Deliver frequent attention and allow free access to preferred items. Do not deliver demands.
If PB: Ignore briefly, then resume play.
Demand: Begin session: Deliver non-preferred academic or work tasks. If PB: Remove task and ignore for 30 seconds; then resume tasks.
Tangible: Begin session: Allow brief access to preferred item then remove and ignore. If PB: Provide brief access to preferred item; then remove again.
Other: Begin session:
If PB: Client: ______________________________________________________ Start Date: ________________________ Problem Behavior: _____________________________________________ End Date: ________________________
Session Alone Attention Play Demand Tangible Other 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Mean PB
- Client:
- Start Date:
- Problem Behavior:
- End Date:
- Alone1:
- Attention1:
- Play1:
- Demand1:
- Tangible1:
- Other1:
- Alone2:
- Attention2:
- Play2:
- Demand2:
- Tangible2:
- Other2:
- Alone3:
- Attention3:
- Play3:
- Demand3:
- Tangible3:
- Other3:
- Alone4:
- Attention4:
- Play4:
- Demand4:
- Tangible4:
- Other4:
- Alone5:
- Attention5:
- Play5:
- Demand5:
- Tangible5:
- Other5:
- Alone6:
- Attention6:
- Play6:
- Demand6:
- Tangible6:
- Other6:
- Alone7:
- Attention7:
- Play7:
- Demand7:
- Tangible7:
- Other7:
- Alone8:
- Attention8:
- Play8:
- Demand8:
- Tangible8:
- Other8:
- Alone9:
- Attention9:
- Play9:
- Demand9:
- Tangible9:
- Other9:
- Alone10:
- Attention10:
- Play10:
- Demand10:
- Tangible10:
- Other10:
- Alone11:
- Attention11:
- Play11:
- Demand11:
- Tangible11:
- Other11:
- Alone12:
- Attention12:
- Play12:
- Demand12:
- Tangible12:
- Other12:
- Alone13:
- Attention13:
- Play13:
- Demand13:
- Tangible13:
- Other13:
- Alone14:
- Attention14:
- Play14:
- Demand14:
- Tangible14:
- Other14:
- Alone15:
- Attention15:
- Play15:
- Demand15:
- Tangible15:
- Other15:
- Alone16:
- Attention16:
- Play16:
- Demand16:
- Tangible16:
- Other16:
- Alone17:
- Attention17:
- Play17:
- Demand17:
- Tangible17:
- Other17:
- Alone18:
- Attention18:
- Play18:
- Demand18:
- Tangible18:
- Other18:
- Alone19:
- Attention19:
- Play19:
- Demand19:
- Tangible19:
- Other19:
- Alone20:
- Attention20:
- Play20:
- Demand20:
- Tangible20:
- Other20:
- AloneMean PB:
- AttentionMean PB:
- PlayMean PB:
- DemandMean PB:
- TangibleMean PB:
- OtherMean PB: