Prekindergarten Program for Children with Disabilities
Miami-Dade County Public Schools
Assistive Technology (AT) Data Sheet
Student Name:______Data Recorder:______
WHAT task will the student be expected to do?
WHAT tool (device or material) will be used?
Describe specific instructional strategies for the use of this tool:
WHEN in the daily routine will this tool/strategy be used (check all that apply)?
□ Arrival / □ Greeting / □ Small Group / □ Large Group□ Snack/Lunch / □ Outside / □ Planning/Recall / □ Work Time
□ Clean Up / □ Shared Reading / □ Phonol. Awareness / □ Self-Help
□ 1 to 1 Time / □ Therapy / □ Closing / □ Home
Dates:
5 occurrences / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 2
3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3
4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4
5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5 / 5
Prompt
# accomplished out of 5 trials
Comments:
√ = accomplished task X = did not accomplish task
Prompting Key
W = Wait with expectation for 10 seconds before prompting!
A = Ask an open ended question and pause
R = Request an action from the student and pause
G = Gesture in the area of the desired response and pause
M = Adult or other child models the desired response