DEVELOPMENTAL DISABILITIES INSTITUTE

CHILDREN’S DAY SERVICES

TASK ANALYSIS DATA SHEET

Student’s Name:

Program: Brushing Hair

SD:

Operational Definition:

Current Target Step:

Date:
1.  Grasps brush
2.  Looks at self in mirror
3.  Raises brush above head
4.  Brushes down to the right
5.  Switches hands to hold brush
6.  Raises brush above head
7.  Brushes down to the left
8.  Switches hands
9.  Raises brush above head
10.  Brushes down the back of hair
11.  Puts brush away
12. 

Staff Initials

Setting

Date:
1.  Grasps brush
2.  Looks at self in mirror
3.  Raises brush above head
4.  Brushes down to the right
5.  Switches hands to hold brush
6.  Raises brush above head
7.  Brushes down to the left
8.  Switches hands
9.  Raises brush above head
10.  Brushes down the back of hair
11.  Puts brush away
1. 

Staff Initials

Setting

PROMPT KEY

/ FM: Full Manual / PM: Part Manual / G: Gesture/Model / VP: Verbal Prompt / I: Independent