1
Reinforcer Inventory for _________________________________
DOB: ___________
Date: ____________________________
Person Completing the Inventory:
_______________________________________________
PLEASE MAKE A CHECKMARK IN THE BOX THAT APPLIES TO THE INDIVIDUAL.
Toys / Games / Play Things
Very Much
Fair
Amount
Vehicles
Garage and vehicles
Racing cars and track
Trains
Thomas the Tank Engine
Action Figures
Transformers
Dolls
Dollhouse and Figures
Animals
Castles and knights
Stuffed animals
Blocks, Legos
Construction toys
Remote control toys/vehicles
Play Doh
Imaginary play, wearing costumes
Puzzles
Board Games
Button/dial toys
Lotto/Bingo games
Others:
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Toys & Games)
Not at all
2
Audi-Visual / Tech
Very Much
Fair
Amount
Watching TV
Favorite Shows:
Watching DVDs
Favorite DVDs:
Listening to music
Favorite:
Playing Computer Games
Favorites:
Playing Videogames
Favorites:
Using the Computer /Laptop
Favorite Activities:
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Audio-Visual/Tech)
Not at all
3
Audi-Visual / Tech
(Continued)
Using the iPod/Touch
Very Much
Fair
Amount
Favorite Activities:
Using the iPad
Favorites Activities
Using the Cell or Smart Phone
Favorite Activities:
Using a video camera
Making videos or movies
Using a camera
Using a tape recorder
Using a MP3 Player
Looking at photographs
Creating websites, webpages
Others:
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Audio Visual / Tech 2)
Not at all
4
Sports and Motor
Team Sports
Favorites:
Individual Sports
Favorites:
Gymnastics
Favorite Activities:
Martial Arts
Yoga
Dance
Taking walks
Going on hikes
Bike riding
Swimming
Bowling
Skiing
Ice skating
Horseback riding
Miniature golf
Jumping on a trampoline
Using a scooter
Others:
Very Much
Fair
Amount
Not at all
5
Music / Arts/ Crafts
Playing an instrument
Favorites:
Being in a musical group
Singing
Writing/composing music
Writing/composing lyrics
Using a microphone
Drama/acting
Doing art
Favorites:
Doing crafts
Favorites:
Building models
Working with tools
Sewing
Knitting
Needlepoint, latch hook
Using a scooter
Others:
Very Much
Fair
Amount
Not at all
6
Food / Snacks / Treats
Very Much
Fair
Amount
Candy
Favorites:
Cookies, Cake, Muffins
Favorites:
Salty Treats (Chips, Crackers, Pretzels)
Favorites:
Ice Cream
Other treats:
Favorite Food/Meals:
Favorite Drinks:
Favorite Places to Eat out:
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Food/Treats)
Not at all
7
Social / Interactive
Receiving 1:1 attention
Receiving attention in a group
Talking/communicating with others
Having others listen
Telling jokes, being funny
Laughing, giggling
Greeting others
Receiving praise & compliments
Being touched
Touching others
Hugging and kissing
Sitting next to others
Playing or being with adults
Playing or being with siblings
Playing or being with family
Playing with peers (parallel)
Playing with peers (cooperative)
Having a play date at home
Having a play date at peer’s home
Having parties
Going to parties
Being in a club or group
Participating in group activities
Participating in social skills group
Playing games with others
Going on dates
Having a girl/boyfriend
Having a best friend
Dr. Robin D. Allen,Reinforcer Inventory (Social)
Very Much
Fair
Amount
Not at all
8
Social / Interactive
(Continued)
Calling people on the phone
Very Much
Fair
Amount
Who?
Getting phone calls
From Whom?
Sending e-mail to others
Who?
Texting others
Who?
Writing letters to others
Making cards for others
Receiving gifts
Giving gifts
Being helpful
Using manners
Sharing
Taking turns
Initiating interactions
Others:
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Social Interactive 2)
Not at all
9
Personal / Domestic
Very Much
Fair
Amount
Looking in the mirror
Taking a bath or shower
Washing/drying/styling hair
Having hair done – stylist/barber
Wearing make-up
Wearing jewelry
Wearing special clothes
Wearing perfume/cologne
Getting manicure/pedicure
Wearing hats
Wearing glasses
Wearing accessories
Setting up new bedroom
Cleaning up
Baking/cooking
Preparing a menu
Caring for pet(s)
Doing chores
What chores?
Doing yard work
Washing the car
Bringing in the mail
Having a job
Others:
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Personal / Domestic)
Not at all
10
Sensory / Self-Stimulatory
Spinning around
Climbing in surfaces
Climbing up high
Jumping
Swinging
Running around
Rocking while seated
Rocking while standing
Pacing
Spinning
Flapping hands/fingers
Flicking fingers
Bouncing while seated
Chewing on items
Licking things
Sucking things
Tapping things/people/surfaces
Lining items up
Spinning items/objects
Watching things move
Playing with hair/clothing
Doing repetitious activities
Stacking items
Making vocalizations
Repeating vocalizations
Repeating verbalizations
Playing with hand fidgets
Having deep pressure on body
Others:
Very Much
Fair
Amount
Not at all
11
Academic / School
Math
Science
Social Studies
History
English
Language Arts
Computer / Media Lab
Writing
Reading
Spelling
Art
PE
Music
Drama
Recess outside
Free time in classroom
Lunch, snack
Band, orchestra, chorus
Plays, assemblies
Using computer in class
Walking in the hall with friends
Sitting with friends at lunch
Riding the bus
Going on field trips
Having a school job
Behavior/Reward Charts
Teachers and staff
No school days
Others:
Dr. Robin D. Allen, Reinforcer Inventory
(School)
Very Much
Fair
Amount
Not at all
12
Community / Outings
Riding in the vehicle
Eating out for fast food
Eating out in restaurant
Going to the grocery store
Going to the park
Going to the playground
Going to the library
Going for a walk
Going to the toy store
Going to the book store
Going to the mall
Going out for ice cream, yogurt
Going to the drug store
Going to church or synagogue
Getting a haircut
Going to the pool
Going to YMCA, JCC
Going to Washington DC
Riding on the subway
Going to the zoo
Going to the aquarium
Going to the movies
Going to the video store
Going to arcades
Going to a picnic
Going to a fair
Going to a concert
Going on vacation
Others:
Dr. Robin D. Allen, (Community)
Very Much
Fair
Amount
Not at all
13
Miscellaneous
Reading
Favorites:
Being read to
Looking at book & magazines
Having free time
Staying up late
Sleeping late in the morning
Writing in a diary or journal
Being left alone
Scheduling the day
Celebrating holidays
Collecting items
What?
Having subscriptions
Buying things on-line
Receiving stickers, stars, stamps
Receiving tokens on a token board
Receiving certificates
Receiving medals, badges, trophies
Earning allowance
Earning money
Saving money
Spending money
Others:
Very Much
Fair
Amount
Not at all
14
FAVORITE THINGS
Colors
Numbers
Animals
Songs
Friends
Pets
Musical groups
Sports teams
Holidays
Actors
Actresses
Sports figures
People
Game
Flowers
People
Teachers
Therapists
Season
Store
Car
School subject
Things to do
Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (FAVORITE THINGS)