iep data collection - Weebly · iep data collection Student’s Name ~~~~~ School Year ~~~~~/~~~~~...

iep data

collection

Student’s Name

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

School Year

~~~~~~~~~~~/~~~~~~~~~~~

Iep Data collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder.

LIST STUDENT’S IEP GOALS

CURRENT IEP GOALS NEW IEP GOALS Date Introduced _______________ ___ Date Introduced___________________ Mastery Date _____________________ Mastery Date _____________________

d d

________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Goal

#1

Goal

#2

Goal

#3

Goal

#4

Goal

#5

Goal

#6

Goal

#7

Goal

#8

IEP GOAL #1

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL #2

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

DATA SCORE CHART I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

IEP GOAL #3

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL #4

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL #5

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL #6

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL #7

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

IEP GOAL #8

Types of Prompts � VP= VERBAL PROMPTING provides a verbal instruction, or verbal cue. A full verbal prompt might involve saying the word or phrase. � PP= POINT PROMPT means pointing at, or touching an item or area to indicate a correct response. � PHY= PHYSICAL PROMPTING involves a slight touch, indicating to the child that he or she needs to do, or

continue with the activity.

� HOH= HAND OVER HAND involves moving through the entire process.

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

IEP GOAL Notes:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

IEP GOAL

IEP Data Collection 2008 Christina M. Schindler

Colfax Public School District Parent Liaison Autism Line Therapist

And a Parent of Children with Autism Spectrum Disorder

CURRENT IEP GOAL NEW IEP GOAL DDDD

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Goal Title/Name Goal

____________________________________

Goal Introduced _______/_______/_______

Mastery Date _________________________

GOAL DESCRIPTION

Current IEP Goal broken down into steps

NEW IEP Goal broken down into steps

Step 1 a

Step 2 a

Step 3 a

Step 4 a

Step 5 a

DATA SCORE CHART

I= Independent VP=Verbal Prompt PP=Point Prompt PHY=Physical Prompt HOH=Hand Over Hand

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

ddddINITAILS DATE ________________

IEP Data Collection

2008 Christina M. Schindler Colfax Public School District Parent Liaison

Autism Line Therapist And a Parent of Children with Autism Spectrum Disorder

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 1 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 2 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 3 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 4 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time

Step 5 a Indep. / VP / PP / PHY / HOH Mastered? Yes / Not at this time