Self Graphing IEP Goals and Targets Data Form
Student Information:__________________________________________________________________ Dates:__________________________
Goal:_________________________________________________________________________________________________________________
DATES
Targets
10
10
10
10
10
10
10
10
10
10
9
9
9
9
9
9
9
9
9
9
8
8
8
8
8
8
8
8
8
8
7
7
7
7
7
7
7
7
7
7
6
6
6
6
6
6
6
6
6
6
5
5
5
5
5
5
5
5
5
5
4
4
4
4
4
4
4
4
4
4
3
3
3
3
3
3
3
3
3
3
2
2
2
2
2
2
2
2
2
2
1
1
1
1
1
1
1
1
1
1
Number Correct
1. For each selected target, place a circle in the box if the student got the item correct and an X if the student got it incorrect
2. Add the number correct for that date and place a square around the NUMBER for that column.
3. Once all the columns are completed, draw a line connecting the squares.
Adapted from Data without Tears 2010
Self Graphing IEP Goals and Targets Data Form EXAMPLE
Student Information:__________________________________________________________________ Dates:__________________________
Goal: When given the instruction to “Give me (various items), Student will pick up the object and hand it to the teacher / peer 4 our of 5 times
over 3 consecutive sessions
DATES
Targets
10
10
10
10
10
10
10
10
10
10
9
9
9
9
9
9
9
9
9
9
8
8
8
8
8
8
8
8
8
8
7
7
7
7
7
7
7
7
7
7
6
6
6
6
6
6
6
6
6
6
Square
5
5
5
5
5
5
5
5
5
5
Pencil
4
4
4
4
4
4
4
4
4
4
Truck
3
3
3
3
3
3
3
3
3
3
Spoon
2
2
2
2
2
2
2
2
2
2
Ball
1
1
1
1
1
1
1
1
1
1
Number Correct
1. For each selected target, place a circle in the box if the student got the item correct and an X if the student got it incorrect
2. Add the number correct for that date and place a square around the NUMBER for that column.
3. Once all the columns are completed, draw a line connecting the squares.
Adapted from Data without Tears 2010