July 2008

Caddo Parish Public Schools

C-FBA: Baseline and Progress Monitoring Data Collection

Daily or Weekly (Choose ONE frequency box)

Student:______Student #:______Grade:______

Date:______School:______ Regular Special Ed.

BEHAVIOR OF CONCERN: ______

______

Directions: This table measures the DAILY occurrence of the behavior of concern. Place a slash through each number to denote the number of times the behavior has occurred. The final slash mark made should be placed in the total box.. Complete this daily for one week. Write daily average on the Baseline/Progress Monitoring Summary Form.

Time / DAILY FREQUENCY BOX / TOTAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Baseline data summary: Add the “total” for each time period in the “total” column to compute the average number of times this behavior occurs daily. Daily average = ______

Period: 1st 2nd 3rd 4th 5th 6th 7th 8th

Directions: This table measures the WEEKLY occurrence of the behavior of concern. Place a slash through each number to denote the number of times the behavior has occurred during that day. The final slash mark made should be placed in the total box. Complete this daily for one week. Write daily average on the Baseline/Progress Monitoring Summary Form.

DATE / WEEKLY FREQUENCY BOX / TOTAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Baseline data summary: Add the “total” for the five days reported above and divide by 5. Daily average = ______

(This number represents the average for the week reported above.)