PAIRING DATA SHEET
Learner _________________
Instructor __________________
Time: from ______ to ______
Total time (minutes) _______
Date _______
Instructions: Cross off a numeral each time a reinforcer is delivered. List the reinforcers;
activity/edible etc. Circle +/- to indicate weather or not the learner generally accepted/denied
specific reinforcers throughout the session. Cross off a numeral each time the learner exhibits an
approach behavior: accepts reinforcer, approaches/looks at instructor, smiles, makes eye
contact, initiates request etc. Cross off a numeral each time the learner exhibits an escape
behavior: moves away when instructor approaches, will not accept items, cries, aggresses,
leaves area, etc. Record how many approach/escape behaviors the learner had in time period
(approaches/escapes per minute).
Number of Reinforcers
Delivered by Instructor
1 2 3
10 11
17 18
23 24
29 30
35 36
41 42
47 48
53 54
59 60
65 66
71 72
77 78
83 84
89 90
95 96
4
12
19
25
31
37
43
49
55
61
67
73
79
85
91
97
5 6 7 8 9
13 14 15 16
20 21 22
26 27 28
32 33 34
38 39 40
44 45 46
50 51 52
56 57 58
62 63 64
68 69 70
74 75 76
80 81 82
86 87 88
92 93 94
98 99 100
Approach Behaviors
1 2 3
10 11
17 18
24 25
31 32
38 39
45 46
52 53
59 60
66 67
73 74
80 81
87 88
94 95
4
12
19
26
33
40
47
54
61
68
75
82
89
96
5 6 7
13 14
20 21
27 28
34 35
41 42
48 49
55 56
62 63
69 70
76 77
83 84
90 91
97 98
8 9
15 16
22 23
29 30
36 37
43 44
50 51
57 58
64 65
71 72
78 79
85 86
92 93
99 100
Escape Behaviors
1 2 3
10 11
17 18
24 25
31 32
38 39
45 46
52 53
59 60
66 67
73 74
80 81
87 88
94 95
4
12
19
26
33
40
47
54
61
68
75
82
89
96
5 6 7
13 14
20 21
27 28
34 35
41 42
48 49
55 56
62 63
69 70
76 77
83 84
90 91
97 98
List Reinforcers:
Total Approaches ________ per ________ minutes
_______________ + -
Total Escapes __________ per ________ minutes
_______________ + -
Comments:
_______________ + _______________ + _______________ + _______________ + _______________ + -
8 9
15 16
22 23
29 30
36 37
43 44
50 51
57 58
64 65
71 72
78 79
85 86
92 93
99 100