Date: _______     Time:___________    Location:____________     Student:_____________       Observer:___________
Setting Events (what’s going on at the day/time? Is it raining? Is the child sleep deprived, sick? Is there a substitute teacher?)  
Antecedent
Challenging Behavior
Consequence/Social Reaction
POSSIBLE FUNCTION (Attention / Access to Item or Activity / Escape, Avoid, Delay / Sensory)
Date: _______     Time:___________    Location:____________     Student:_____________       Observer:___________
Setting Events (what’s going on at the day/time? Is it raining? Is the child sleep deprived, sick? Is there a substitute teacher?)  
Antecedent
Challenging Behavior
Consequence/Social Reaction
POSSIBLE FUNCTION (Attention / Access to Item or Activity / Escape, Avoid, Delay / Sensory)

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