This is a 41 step data for teaching a student to use a classroom or public restroom independently. Each step has space to circle independence level for up to 5 trials. Teachers, Paras, therapists, etc can just circle I (independent), P (Prompt), or FA(Full Assist) for each step. The form has 5 columns for a week's worth of data.
This form is included in my Severe Disabilities Task Analysis Bundle, so if you need more than this check it out and save!
Need CBI Data forms? Check this bundle out!