Event Recording Form 1
Child:
________________________________________________
Observer:
______________________________________
Dates:
______________________
Routine Activity: ____________________________________________________________________________________________________________________________
Target Behavior:
__________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
Directions: 1. Write down the date. 2. Make a tally mark every time the behavior occurs. 3. Total the number of
tally marks for that day. 4. Calculate and write down the rate per min (dividing the number of occurrence by
observation length in minutes).
Observation/Recording Duration: ______________________________________________________________________________________________________
Date
Time Period of Observation
When recording period begins and ends
Mean Number of Occurrence: ________________
Recording
Tally every time the behavior occurs
Total Number of
Times Behavior
Occurs
Mean Rate Per Minute*:
Rate Per Min.
__________________
*Provide mean rate per minute if observation length varies.
A Toolkit for Facilitating Individualized Interventions to Address Challenging Behavior • Center for Early Childhood Mental Health Consultation • GUCCHD
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