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Data Tracking Form for Sensory and Movement Breaks with descriptions

Data Tracking Form for Sensory and Movement Breaks with descriptions
Grade Levels
Resource Type
Product Rating
4.0
2 ratings
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Word Document File

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61 KB|3 pages
Product Description
This is a comprehensive form that can be utilized to track and analyze the efficacy of sensory and movement breaks. The form enables documentation of the following:

1. The student's behavior PRIOR to the break (there are 10 options, 9 are specific behaviors and the 10th is "other")

2. The type of break that was given (there are 6 options fine motor, oral motor, movement, heavy work, weight bearing, other)

3. The student's behavior AFTER the break
green - appropriate / acceptable behavior, student rejoined class
yellow - inconsistent behavior, student rejoins class for a specified
amount of time
red - student is not ready to rejoin class, offer a different type of
break or proceed to next intervention

4. Observations / comments / concerns
Total Pages
3 pages
Answer Key
N/A
Teaching Duration
N/A
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