I use this when a student's behavior consistently does not allow them to be with their peers. I use this to document the amount of time they are away from their peers. There is space to write notes about the time away. I calculate the percentage of the day the student is away from their peers. This can be helpful when developing a Behavior Intervention Plan.
For a BIP template and an example of a BIP, check out this Behavior Intervention Plan
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Please email me me if you have any questions about how to best use this form: learning email@example.com