Coded data sheet for a time sampling observation.

Student: Evelyn Behavior: Social Interaction

Date: 9-7 Time Start: 8:30

Observer: Ms. Lee Time End: 11:30

10’ 20’ 30’ 40’ 50’ 60’

I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P
I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P
I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P / I S V
R A P

Code:

I = student initiated the interaction S = interaction with another student V = interaction was verbal

R = student responded to an initiation by someone else A = interaction with an adult P = interaction was physical

’ = minutes

Adapted from: Applied Behavior Analysis, Alberto and Troutman