Frequency Recording Form

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Jefferson County Public Schools

Exceptional Student Services

Frequency Recording Form


This data sheet is arranged for recording the frequency or number of times a behavior occurs in a given time
period. It is the data collection method of choice when the objective is to increase or decrease the number of
times a student engages in a particular behavior.
To use this chart: identify the target behavior to be counted; determine count time; slash (/) through the
number of each response; total the number of responses at the end of the predetermined count time; and,
shade in the square corresponding to that number in the column. Connect the shaded numbers across the

Student Date Grade


School Count Time
Target behavior to be counted:
Select Measure being documented: Baseline measure Intervention analysis
30 30 30 30 30 30 30 30 30 30 30
29 29 29 29 29 29 29 29 29 29 29
28 28 28 28 28 28 28 28 28 28 28
27 27 27 27 27 27 27 27 27 27 27
26 26 26 26 26 26 26 26 26 26 26
25 25 25 25 25 25 25 25 25 25 25
24 24 24 24 24 24 24 24 24 24 24
23 23 23 23 23 23 23 23 23 23 23
22 22 22 22 22 22 22 22 22 22 22
21 21 21 21 21 21 21 21 21 21 21
20 20 20 20 20 20 20 20 20 20 20
19 19 19 19 19 19 19 19 19 19 19
18 18 18 18 18 18 18 18 18 18 18
17 17 17 17 17 17 17 17 17 17 17
16 16 16 16 16 16 16 16 16 16 16
15 15 15 15 15 15 15 15 15 15 15
14 14 14 14 14 14 14 14 14 14 14
13 13 13 13 13 13 13 13 13 13 13
12 12 12 12 12 12 12 12 12 12 12
11 11 11 11 11 11 11 11 11 11 11
10 10 10 10 10 10 10 10 10 10 10
9 9 9 9 9 9 9 9 9 9 9
8 8 8 8 8 8 8 8 8 8 8
7 7 7 7 7 7 7 7 7 7 7
6 6 6 6 6 6 6 6 6 6 6
5 5 5 5 5 5 5 5 5 5 5
4 4 4 4 4 4 4 4 4 4 4
3 3 3 3 3 3 3 3 3 3 3
2 2 2 2 2 2 2 2 2 2 2
1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0
Date Date Date Date Date Date Date Date Date Date Date

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