GOAL ATTAINMENT SCALE FORM Building Team Date Student (DOB)

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GOAL ATTAINMENT SCALE FORM
Building Team: Early Childhood
Student (DOB): BB
Date: 9-21-11
Level Of
Attainment
Goal 1:
Goal 2:
Goal 3:
-2
Much less
than expected
In the classroom setting, BB will
independently answer a question
from the teacher using echolalic
speech or require 2-4 prompts to
answer.
In the classroom setting, BB will
follow a 1-2 step direction that part
of his daily routine. He requires 4-5
prompts to follow a 1-2 step
direction that is not part of his daily
routine.
In the classroom setting, BB is
participating in solo / parallel play.
In the classroom setting, BB will
answer a question from the teacher
using a 1 word verbal response with
a visual prompt.
In the classroom setting, BB will
follow a 1-2 step direction that is not
part of his daily routine 2 of 4
requests.
In the classroom setting, BB will
play with a peer with the same toys
or materials without leaving the
area for 5 minutes with no more
than 2 adult visual / verbal prompts.
In the classroom setting, BB will
follow a 1-2 step direction that is not
part of his daily routine 3 of 4
requests.
In the classroom setting, BB will
play with a peer with the same toys
or materials without leaving the
area for 10 minutes with no more
than 1 adult visual prompt.
In the classroom setting, BB will
independently answer a question
from the teacher using a 2 word
verbal response.
In the classroom setting, BB will
follow a 2 step direction that is not
part of his daily routine 3 of 4
requests.
In the classroom setting, BB will
independently play with a peer with
the same toys or materials without
leaving the area for 5 minutes.
In the classroom setting, BB will
independently answer a question
from the teacher using a 3 or more
word verbal response.
In the classroom setting, BB will
follow a 2 step direction that is not
part of his daily routine 4 of 4
requests.
In the classroom setting, BB will
independently play with a peer with
the same toys or materials without
leaving the area for 10 minutes.
(Present Level)
-1
Somewhat less
than expected
(Progress)
0
Expected level of
outcome
(Annual Goal)
+1
Somewhat more
than expected
(Exceeds annual goal)
+2
Much more
than expected
(Far exceeds annual goal)
In the classroom setting, BB will
independently answer a question
from the teacher using a 1 word
verbal response.
EBP: Time Delay
EBP: Video Modeling
EBP: Peer Mediated Instruction /
Visual Supports
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