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Comprehensive Monthly IEP Progress Monitoring Data Sheet

IEP Data Sheet · Pre-K (Age 3–4) · English

Comprehensive Monthly IEP Progress Monitoring Data Sheet

Comprehensive Monthly IEP Progress Monitoring Data Sheet

Student Name: Eddie  |  IEP Term: ​​​​​​​​​​​​​​​​  |  Case Manager / Teacher: ​​​​​​​​​​​​​​​​​​​​ Primary Language: English  |  Data Collection Frequency: Monthly  |  Setting: Classroom / Therapy



Scoring & Prompting Key

Code
Description
Code
Description
IND
Independent (no prompts needed)
+
Demonstrated / Correct
VP
Verbal Prompt (indirect or direct)
-
Not Demonstrated / Incorrect
GP
Gestural Prompt (pointing, cueing)
A
Absent / Not Assessed
MOD
Model Prompt (demonstrating skill)
M1–M12
Tracking Months (e.g., Sep–Aug)
PP
Partial Physical Prompt
Criteria
Meets targeted benchmark percentage
FP
Full Physical Prompt (hand-over-hand)
NR
No Response / Refusal



1. Domain: Numerical Concepts

Annual Goal: Eddie will learn simple numerical concepts across structured tasks and classroom activities.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
1.1 Size & Quantity: Identifies large vs. small
90% on 8/10 trials
 
​
 
 
 
 
 
 
 
 
 
 
 
1.2 Size & Quantity: Identifies more vs. less
90% on 8/10 trials
 
​
 
 
 
 
 
 
 
 
 
 
 
1.3 Ordinal Position: Identifies first vs. last
90% on 8/10 trials
 
​
 
 
 
 
 
 
 
 
 
 
 
1.4 Comparative Math: Identifies equal vs. not equal
90% on 8/10 trials
 
​
 
 
 
 
 
 
 
 
 
 
 
1.5 Relational Concepts: Identifies alike or similar
90% on 8/10 trials
 
​
 
 
 
 
 
 
 
 
 
 
 
Mastery Rule: 90% accuracy on 8/10 items/worksheets across 4 consecutive weekly trials.
Qualitative Notes & Prompt Levels (Numerical Concepts):




2. Domain: Sensory & Physical Concepts (Textures & Attributes)

Annual Goal: Eddie will learn the concept of textures and physical attributes using concrete materials and visual aids.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
2.1 Weight: Differentiates heavy vs. light
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
2.2 Moisture: Differentiates wet vs. dry
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
2.3 Value/Tone: Differentiates dark vs. light
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
2.4 Texture: Differentiates soft vs. hard
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
Mastery Rule: 90% accuracy on 8/10 items/worksheets across 4 consecutive weekly trials.
Qualitative Notes & Prompt Levels (Sensory Concepts):




3. Domain: Early Literacy (Letters & Sounds)

Annual Goal: Eddie will learn letters and sounds through multisensory instruction.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
3.1 Letter ID: Recognizes uppercase/lowercase A
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
3.2 Letter ID: Recognizes letters X, Z, W
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
3.3 Sound ID: Produces/identifies sounds of /m/, /z/, /g/
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
3.4 Sight Recognition: Reads days of the week
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
 
 
 
Mastery Rule: 90% accuracy on 8/10 items/worksheets across 4 consecutive weekly trials.
Qualitative Notes & Prompt Levels (Early Literacy):




4. Domain: Cognitive Functioning & Task Engagement

Annual Goal: Within one year, Eddie will develop his cognitive functioning by attending to adult-directed tasks, demonstrating problem-solving skills, and completing age-appropriate learning activities with minimal support across classroom and therapy settings.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
4.1 Sustained Attention: Attends to structured task for 3 min (visual/verbal support)
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
4.2 Direct Matching: Matches identical objects, pictures, or symbols
80% accuracy
 
 
 
 
 
 
 
 
 
 
 
 
 
4.3 Problem Solving: Completes simple 4–6 piece puzzles (minimal assist)
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
4.4 Classification: Sorts objects by category (animals, foods, toys)
80% accuracy
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Cognitive Functioning):




5. Domain: Receptive Language Skills

Annual Goal: Within one year, Eddie will develop receptive language skills by understanding and following age-appropriate directions and concepts across settings.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
5.1 1-Step Directions: Follows 1-step directions without visual cues
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
5.2 2-Step Directions: Follows 2-step related directions with visual support
80% of opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
5.3 Identification: Identifies common objects, actions, and concepts via pictures
80% accuracy
 
 
 
 
 
 
 
 
 
 
 
 
 
5.4 Comprehension: Answers simple "what" and "where" questions
80% accuracy
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Receptive Language):




6. Domain: Expressive Language Skills

Annual Goal: Within one year, Eddie will develop expressive language skills by using functional phrases and sentences to communicate wants, needs, comments, and responses throughout the day.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
6.1 Functional Requesting: Uses 2–3 word spontaneous phrases for preferred items
80% of opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
6.2 Answering Questions: Answers simple questions using words or short phrases
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
6.3 Vocabulary Labeling: Labels actions, objects, and people
80% accuracy
 
 
 
 
 
 
 
 
 
 
 
 
 
6.4 Sentence Construction: Uses 3–4 word sentences during play/structured tasks
Independent / Routine
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Expressive Language):




7. Domain: Social Engagement & Interaction

Annual Goal: Within one year, Eddie will develop social engagement and interaction with peers and adults during structured and unstructured activities.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
7.1 Joint Attention: Maintains joint attention with peer/adult for 3 min during play
3 continuous minutes
 
 
 
 
 
 
 
 
 
 
 
 
 
7.2 Turn-Taking: Participates in simple turn-taking for at least 3 exchanges
3 exchanges
 
 
 
 
 
 
 
 
 
 
 
 
 
7.3 Initiating Social Contact: Initiates interaction using words or gestures
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Social Engagement):




8. Domain: Fine Motor & Visual-Motor Skills

Annual Goal: Within one year, Eddie will develop fine motor and visual-motor skills necessary for classroom participation and self-help activities.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
8.1 Tool Grasp: Demonstrates age-appropriate grasp on writing tools
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
8.2 Prewriting: Copies vertical, horizontal, and circular prewriting strokes
80% accuracy
 
 
 
 
 
 
 
 
 
 
 
 
 
8.3 Scissor Skills: Snips paper using adapted scissors
Moderate assistance
 
 
 
 
 
 
 
 
 
 
 
 
 
8.4 Manipulatives: Completes tasks with pegboards, puzzles, and blocks
80% success
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Fine Motor):




9. Domain: Daily Living Skills & Personal Care

Annual Goal: Within one year, Eddie will develop independence with daily living skills and personal care routines.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
9.1 Self-Feeding: Uses spoon independently with minimal spilling
Routine meal times
 
 
 
 
 
 
 
 
 
 
 
 
 
9.2 Dressing: Assists by putting on or removing simple clothing items
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
9.3 Hygiene: Participates in handwashing routines using visual supports
Minimal assistance
 
 
 
 
 
 
 
 
 
 
 
 
 
9.4 Toileting Communication: Indicates toileting needs (words, gestures, AAC)
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Daily Living Skills):




10. Domain: Self-Regulation & Transition Skills

Annual Goal: Within one year, Eddie will develop self-regulation and transition skills to participate successfully in school routines.
Objective / Benchmark
Target Criteria
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Status / Notes
10.1 Transitions: Transitions between activities using visual schedules
≤ 1 verbal prompt
 
 
 
 
 
 
 
 
 
 
 
 
 
10.2 Seated Engagement: Remains seated and engaged in adult-led tasks
5 continuous min
 
 
 
 
 
 
 
 
 
 
 
 
 
10.3 Emotional Regulation: Employs a taught calming strategy when frustrated
4 of 5 opportunities
 
 
 
 
 
 
 
 
 
 
 
 
 
10.4 Routine Compliance: Follows classroom routines with minimal adult redirection
Minimal adult support
 
 
 
 
 
 
 
 
 
 
 
 
 
Qualitative Notes & Prompt Levels (Self-Regulation):




Monthly Qualitative Observations & Context Log

Use this log to record monthly setting variations, effective accommodations/reinforcers, behavioral observations, and target modifications.
Month
Date
Evaluator / Provider
Key Observations, Behavioral Factors, and Target Next Steps
M1
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M2
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M3
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M4
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M5
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M6
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M7
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M8
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M9
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M10
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M11
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
M12
​​​​​​​​
​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​



Quarterly IEP Progress Summary

Progress Codes: M = Mastered, SP = Satisfactory Progress (on track), IP = Insufficient Progress (needs review/intervention), NA = Not Introduced Yet
Goal Area
Q1 Status (3 Mo)
Q2 Status (6 Mo)
Q3 Status (9 Mo)
Q4 Status (12 Mo)
Summary of Annual Progress
1. Numerical Concepts
 
 
 
 
 
2. Sensory / Textures
 
 
 
 
 
3. Letters and Sounds
 
 
 
 
 
4. Cognitive Functioning
 
 
 
 
 
5. Receptive Language
 
 
 
 
 
6. Expressive Language
 
 
 
 
 
7. Social Engagement
 
 
 
 
 
8. Fine Motor & Visual-Motor
 
 
 
 
 
9. Daily Living Skills
 
 
 
 
 
10. Self-Regulation & Transitions
 
 
 
 
 
Evaluator / Case Manager Signature: ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​      Date: ​​​​​​​​​​​​​​

Comprehensive Monthly IEP Progress Monitoring Data Sheet

Comprehensive Monthly IEP Progress Monitoring Data Sheet

Student Name: Eddie Corchado  |  PDAR Date: 07/28/27  |  School Year: ​​​​​​​​​​​​​​ Teacher / Evaluator: ​​​​​​​​​​​​​​​​​​​​​​  |  Evaluation Method: Teacher Observation (1x / Month) Primary Language: English  |  Pronouns: He/him  |  Setting: Classroom / Therapy



Scoring, Prompting, and Progress Key

Code
Prompt Level
Code
Performance / Progress Status
IND
Independent (no prompts required)
M
Mastered (criteria met across required trials)
VP
Verbal Prompt (direct or indirect cue)
SP
Satisfactory Progress (on track to achieve goal)
GP
Gestural Prompt (pointing, visual cue)
IP
Insufficient Progress (needs review / intervention)
MOD
Model Prompt (demonstration of skill)
NI
Not Introduced (not targeted this reporting period)
PP
Partial Physical Prompt (guided touch)
+ / -
Correct / Demonstrated (+) vs. Incorrect (-)
FP
Full Physical Prompt (hand-over-hand)
A
Absent / Not Assessed



1. Domain: Numerical Concepts

Annual Goal: Eddie will learn simple numerical concepts.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
1.1 Size & Quantity: Learns concepts of large & small, more & less (3 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
1.2 Ordinal Position: Learns concept of first & last (6 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
1.3 Equivalence: Learns equal & not equal (9 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
1.4 Relational: Learns alike or similar (12 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
Benchmark Mastery Criteria: 90% accuracy on 8/10 times or worksheets 5 out of 5 times on 4 consecutive weekly trials. Prompt Level & Qualitative Notes:




2. Domain: Concepts of Textures & Physical Attributes

Annual Goal: Eddie will learn the concept of textures.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
2.1 Weight: Identifies heavy vs. light (3 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
2.2 Moisture: Identifies wet vs. dry (6 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
2.3 Value/Tone: Identifies dark vs. light (9 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
2.4 Surface Texture: Identifies soft vs. hard (12 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
Benchmark Mastery Criteria: 90% accuracy on 8/10 times or worksheets 5 out of 5 times on 4 consecutive weekly trials. Prompt Level & Qualitative Notes:




3. Domain: Early Literacy (Letters & Sounds)

Annual Goal: Eddie will learn letters and sounds.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
3.1 Letter Identification: Recognizes letter A (3 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
3.2 Letter Identification: Recognizes letters X, Z, W (6 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
3.3 Letter-Sound Correspondence: Identifies sounds of M, Z, G (9 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
3.4 Sight Word Reading: Sight reads days of the week (12 Mo)
90% on 8/10 trials
 
 
 
 
 
 
 
 
 
 
Benchmark Mastery Criteria: 90% accuracy on 8/10 times or worksheets 5 out of 5 times on 4 consecutive weekly trials. Prompt Level & Qualitative Notes:




4. Domain: Cognitive Functioning & Task Engagement

Annual Goal: Within one year, Eddie will develop his cognitive functioning by attending to adult-directed tasks, demonstrating problem-solving skills, and completing age-appropriate learning activities with minimal support across classroom and therapy settings.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
4.1 Task Attention: Attends to structured task for 3 min (visual/verbal support)
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
4.2 Visual Discrimination: Matches identical objects, pictures, or symbols
80% accuracy
 
 
 
 
 
 
 
 
 
 
4.3 Problem Solving: Completes simple 4–6 piece puzzles (minimal assist)
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
4.4 Categorization: Identifies & sorts objects by category (animals, foods, toys)
80% accuracy
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




5. Domain: Receptive Language Skills

Annual Goal: Within one year, Eddie will develop receptive language skills by understanding and following age-appropriate directions and concepts across settings.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
5.1 1-Step Directions: Follows 1-step directions without visual cues
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
5.2 2-Step Directions: Follows 2-step related directions with visual support
80% of opps
 
 
 
 
 
 
 
 
 
 
5.3 Concept ID: Identifies common objects, actions, & descriptive concepts in pictures
80% accuracy
 
 
 
 
 
 
 
 
 
 
5.4 Wh- Comprehension: Answers simple "what" and "where" questions
80% accuracy
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




6. Domain: Expressive Language Skills

Annual Goal: Within one year, Eddie will develop expressive language skills by using functional phrases and sentences to communicate wants, needs, comments, and responses throughout the day.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
6.1 Requesting: Uses 2–3 word spontaneous phrases for preferred items
80% of opps
 
 
 
 
 
 
 
 
 
 
6.2 Responsive Speech: Answers simple questions using words or short phrases
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
6.3 Functional Naming: Labels actions, objects, and people
80% accuracy
 
 
 
 
 
 
 
 
 
 
6.4 Sentence Formulation: Uses 3–4 word sentences during play & structured tasks
Independent
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




7. Domain: Social Engagement & Interaction

Annual Goal: Within one year, Eddie will develop social engagement and interaction with peers and adults during structured and unstructured activities.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
7.1 Joint Attention: Maintains joint attention with peer/adult for 3 min in play
3 continuous min
 
 
 
 
 
 
 
 
 
 
7.2 Turn-Taking: Participates in simple turn-taking for at least 3 exchanges
3 exchanges
 
 
 
 
 
 
 
 
 
 
7.3 Social Initiation: Initiates interaction with peer/adult via words or gestures
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




8. Domain: Fine Motor & Visual-Motor Skills

Annual Goal: Within one year, Eddie will develop fine motor and visual-motor skills necessary for classroom participation and self-help activities.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
8.1 Grasp: Uses age-appropriate grasp on writing tools during tasks
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
8.2 Prewriting: Copies vertical, horizontal, and circular prewriting strokes
80% accuracy
 
 
 
 
 
 
 
 
 
 
8.3 Scissor Skills: Snips paper using adapted scissors (moderate assist)
Moderate assist
 
 
 
 
 
 
 
 
 
 
8.4 Manipulatives: Completes tasks with pegboards, puzzles, and blocks
80% success
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




9. Domain: Daily Living Skills & Personal Care Routines

Annual Goal: Within one year, Eddie will develop independence with daily living skills and personal care routines.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
9.1 Utensil Use: Uses spoon independently with minimal spilling
Routine meals
 
 
 
 
 
 
 
 
 
 
9.2 Dressing: Assists by putting on or removing simple clothing items
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
9.3 Hygiene Routine: Participates in handwashing using visual supports
Minimal assist
 
 
 
 
 
 
 
 
 
 
9.4 Toileting: Indicates toileting needs using words, gestures, pictures, or AAC
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




10. Domain: Self-Regulation & Transition Skills

Annual Goal: Within one year, Eddie will develop self-regulation and transition skills to participate successfully in school routines.
  • Evaluation Method: Teacher Observation (1x Month)
  • Annual Target: 80% accuracy
Short-Term Objective / Benchmark
Target Criteria
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
10.1 Transitions: Transitions between activities using visual schedules
≤ 1 verbal prompt
 
 
 
 
 
 
 
 
 
 
10.2 Seated Focus: Remains seated and engaged in adult-directed tasks
5 continuous min
 
 
 
 
 
 
 
 
 
 
10.3 Coping Strategies: Employs a taught calming strategy when frustrated
4 of 5 opps
 
 
 
 
 
 
 
 
 
 
10.4 Routine Compliance: Follows classroom routines with minimal adult redirection
Minimal redirection
 
 
 
 
 
 
 
 
 
 
Prompt Level & Qualitative Notes:




Teacher Comments & Monthly Log

Use this section for recording monthly qualitative observations, accommodations implemented, student engagement, and notes for parent reporting.
Month
Observation Date
Observer Initials
Monthly Summary, Environmental Adaptations, & Next Steps
Sept
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Oct
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Nov
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Dec
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Jan
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Feb
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Mar
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Apr
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
May
​​​​​​​​
​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
Jun
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Additional Teacher Comments / Annual Evaluation Summary:

Teacher / Observer Signature: ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​      Date: ​​​​​​​​​​​​​​