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Stimulus Response Data Sheet

Learner: _______________

Skill: Independent Work

Criteria: _________________

Chaining Procedure: _________________________

Instructions: Create a stimulus response chain with the SD and consequence listed for each response. Record the prompt level for each response (total task), or
current target step (backward chain or forward chain).
Date
Step
#

SD / Consequence

Response

1
2
3
4
5
6
7
8
9
10
11
12
13

S ___Go do your work________


C ____In front of work area_____
SD ___In front of work area______
C ____Chair is out_____________
SD _____Chair is out___________
C _____Sitting in chair_________
SD _____Sitting in chair__________
C _____Facing drawers__________
SD _____Facing Drawers________
C ______Drawer # 1 pulled out____
SD _____Drawer # 1 pulled out___
C _______Contents in hand_____
SD _____Contents in Hand______
C ______Contents set up_______
SD _____Contents set up___________
C _______Task complete_______
SD _____Task complete___________
C ______Task contents in drawer___
SD ____Task contents in drawer_
C ______Drawer # 1 closed_______
SD _____Drawer # 1 closed_________
C ______Drawer # 2 pulled out__
SD _____Drawer # 2 pulled out_____
C _______Contents in hand______
SD _____Contents in Hand______
C ______Contents set up_______

Walks to work area

Pulls out chair

Sit Down

Turn to face drawers

Pull out Drawer # 1

Take contents out of


drawer # 1
Set up contents to
complete task
Complete Task

Return task to
drawer # 1
Close Drawer # 1

Pull out Drawer # 2

Take contents out of


drawer # 2
Set up contents to
complete task

Baseline
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

Date
Step
#

14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

SD / Consequence
SD _____Contents set up___________
C _______Task complete_______
SD _____Task complete___________
C ______Task contents in drawer_
SD ____Task contents in drawer_
C ______Drawer # 2 closed________
SD _____Drawer # 2 closed______
C _______Drawer # 3 pulled out__
SD _____Drawer # 3 pulled out____
C _______Contents in hand______
SD _____Contents in Hand______
C ______Contents set up_______
SD _____Contents set up___________
C _______Task complete_______
SD _____Task complete___________
C ______Task contents in drawer___
SD ____Task contents in drawer__
C ______Drawer # 3 closed_______
SD _____Drawer # 3 closed______
C _____Drawer # 4 pulled out____
SD _____Drawer # 4 pulled out____
C _______Contents in hand______
SD _____Contents in Hand______
C ______Contents set up_______
SD _____Contents set up___________
C _______Task complete__________
SD _____Task complete___________
C ____Task contents in drawer_____
SD ____Task contents in drawer__
C ______Drawer # 4 closed______

Response
Complete Task

Return task to
drawer # 2
Close Drawer # 2

Pull out Drawer # 3

Take contents out of


drawer # 3
Set up contents to
complete task
Complete Task

Return task to
drawer # 3
Close Drawer # 3

Pull out Drawer # 4

Take contents out of


drawer # 4
Set up contents to
complete task
Complete Task

Return task to
drawer # 4
Close Drawer # 4

Baseline
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

Date
Step
#

SD / Consequence

Response

29
30
31
32
33
34
35
36
37
38
39
40
41
42

S _____Drawer # 4 closed_____
C _____Drawer # 5 pulled out___
SD _____Drawer # 5 pulled out_____
C _______Contents in hand______
SD _____Contents in Hand_______
C ______Contents set up________
SD _____Contents set up___________
C _______Task complete__________
SD _____Task complete___________
C ______Task contents in drawer___
SD ____Task contents in drawer__
C ______Drawer # 5 closed________
SD _____Drawer # 5 closed_________
C _____Drawer # 6 pulled out_______
SD _____Drawer # 6 pulled out_____
C _______Contents in hand_____
SD _____Contents in Hand_____
C ______Contents set up_______
SD _____Contents set up___________
C _______Task complete__________
SD _____Task complete___________
C ______Task contents in drawer___
SD ____Task contents in drawer__
C ______Drawer # 6 closed_____
SD _____ Drawer # 6 closed_____
C ____ Facing Table______________
SD _____Facing Table_____________

Pull out Drawer # 5

Take contents out of


drawer # 5
Set up contents to
complete task
Complete Task

Return task to
drawer # 5
Close Drawer # 5

Pull out Drawer # 6

Take contents out of


drawer # 6
Set up contents to
complete task
Complete Task

Return task to
drawer # 6
Close Drawer # 6

Turn to face table

Raise Hand

C _____Yes ______ ______

43

SD _____ Yes _________________


C _____Independent work is complete

All Done

Baseline
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND
NR
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND
FP
PP
IND

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