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[Person’s Name] ABC Data Collection

***Below are examples, customize according to your client/student for easy ABC data collection***
Date/Time Setting Antecedent Behavior Consequence Comments

Free time Present a task Punching Given break

Activity Fixated on something (describe) Scratching Allowed access to activity/item (what


___________________ activity/item)
Community Outing Inappropriate vocalizations __________________
Told “no”
Other: Physical “tick” Denied access to activity/item
Stopped a preferred activity
Property Destruction Other:
Present a nonpreferred activity
Other:
No one attending to him

Other:

Free time Present a task Punching Given break

Activity Fixated on something (describe) Scratching Allowed access to activity/item (what


___________________ activity/item)
Community Outing Inappropriate vocalizations __________________
Told “no”
Other: Physical “tick” Denied access to activity/item
Stopped a preferred activity
Property Destruction Other:
Present a nonpreferred activity

No one attending to him Other:

Other:

Free time Present a task Punching Given break

Activity Fixated on something (describe) Scratching Allowed access to activity/item (what


___________________ activity/item)
Community Outing Inappropriate vocalizations __________________
Told “no”
Other: Physical “tick” Denied access to activity/item
Stopped a preferred activity
Property Destruction Other:
Present a nonpreferred activity

No one attending to him Other:

Other:

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