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Forms for Evaluation, Data Collection, & Progress Monitoring

Your Path: Circle of Inclusion Home Page ""Materials""Forms Index""Forms for Evaluation, Data Collection, & Progress Monitoring

Click the title to get a description of a form and citation, or click the PDF/Word icon to directly download the file:

Form Title PDF Word
Evaluation Matrix PDF icon Word icon
Evaluation Reminder PDF icon  
Data Sheet (Kids FIRST) PDF icon  
Data Sheet (White Elementary) PDF icon  
Bathroom Data Sheet PDF icon Word icon
Behavior Log PDF icon Word icon
Task Analysis Data Sheet PDF icon Word icon
Data Collection Sheet PDF icon Word icon
Data Collection Sheet ~ Rating Scale ~ PDF icon Word icon
Weekly Review of Child Progress PDF icon Word icon
Instructional Schedule Matrix: Blank PDF icon Word icon
Instructional Schedule Matrix: Sample PDF icon  
Daily Log PDF icon Word icon

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Evaluation Matrix PDF icon Word icon


Bates, J. (1997). Developing, implementing, and monitoring the IFSP/IEP. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A matrix in which "WHO WILL DO WHICH evaluation WHEN" and which evaluation is needed for the child may be summarized.

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Evaluation Reminder PDF icon


Developed by the Kids FIRST Early Intervention Program


This form is used after a screening as a reminder for parents and others of their involvement in the upcoming evaluation.

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Data Sheet (Kids FIRST) PDF icon


Developed by the Kids FIRST Early Intervention Program


This specific data form is used for home visits or sites with one student. This form is to be used over several visits.

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Data Sheet (White Elementary) PDF icon


Developed by the White Elementary and Early Childhood Center


This specific data form is used to collect data on IEP goals and objectives.

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Bathroom Data Sheet PDF icon Word icon


Keating, J. (1997). Supporting children in inclusive programs. In J. Bates. & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A weekly data sheet about the child’s performance during their bathroom routine.

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Behavior Log PDF icon Word icon


Keating, J. (1997). Supporting children with challenging behaviors. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A sheet to record data related to a child’s challenging behavior. It includes time of occurrence, duration, antecedent condition, and other comments that may guide a hypothesis about the function of the behavior.

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Task Analysis Data Sheet PDF icon Word icon

Bates, J. (1997). Developing, implementing, and monitoring the IFSP/IEP. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A data collection rating scale. A target behavior may be analyzed and divided into small steps. Data codes may be determined in a convenient way for users to indicate the child’s performance level or the level of support needed.

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Data Collection Sheet PDF icon Word icon


Bates, J. (1997). Developing, implementing, and monitoring the IFSP/IEP. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A data collection sheet to rate the level of support needed by a child to accomplish a specific objective.

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Data Collection Sheet ~ Rating Scale ~ PDF icon Word icon


Bates, J. (1997). Developing, implementing, and monitoring the IFSP/IEP. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A data collection sheet to record the performance of multiple children.

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Weekly Review of Child Progress PDF icon Word icon


Bates, J. (1997). Developing, iImplementing, and monitoring the IFSP/IEP. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A child's progress record sheet on which team members may provide anecdotal information of the child’s performance during a week.

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Instructional Schedule Matrix (PDF icon Word icon Blank / PDF icon Sample)


Bates, J. (1997). Developing, implementing, and monitoring the IFSP/IEP. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


The matrix may be used as a data collection form for a child’s IEP objectives/goals within a daily routine and ongoing activities in the classroom. It also visually summarizes which IEP objectives/goals may be embedded into which daily activities in the classroom.

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Daily Log PDF icon Word icon


An example of a daily log on which brief descriptions of a day’s events, student's performance on activities and tasks, and any incidents that may be important to record may be logged.

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Your Path: Circle of Inclusion Home Page ""Materials""Forms Index""Forms for Evaluation, Data Collection, & Progress Monitoring
Copyright © 2002, University of Kansas, Circle of Inclusion Project. Permission for reproduction of these materials for non-profit use with proper citation is granted. Please send your comments and questions to questions@circleofinclusion.org