Technology Daily Data Record

Student’s Name:______Date: ______

**Circle the appropriate number. Each column represents one week. Pick the average circled to fill in the graph per week on bottom of page.

AAC
OBJECTIVE / Activity:
Time: / Activity:
Time: / Activity:
Time: / Activity:
Time: / Activity:
Time: / Activity:
Time: / Activity:
Time: / Activity:
Time:
0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5
0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5
0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5 / 0 1
2 3
4 5

PROMPT LEVEL

5 = independently met expectation

4 = one or two teacher reminders needed before meeting expectation

3 = met expectation following repeated prompting

2= met expectation following physical or verbal cue

1= needed physical assistance

0 = unable to meet expectation (including problems with device not working or batteries not charged)

Prompt
Level / Complete Bar Graph
for each week of 8 week trial
5
4
3
2
1
0
WEEK / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8