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 # 1 2 3 4 5 6 7 8 9 10 11 12 13 SD / Consequence SD ___”Go do your work”________ C ____In front of work area_____ SD ___In front of work area______ Response Walks to work area NR FP PP IND NR FP PP IND Pulls out chair NR FP PP IND NR FP PP IND NR FP PP IND Sit Down NR FP PP IND NR FP PP IND NR FP PP IND Turn to face drawers NR FP PP IND NR FP PP IND NR FP PP IND Pull out Drawer # 1 NR FP PP IND NR FP PP IND NR FP PP IND Take contents out of drawer # 1 NR FP PP IND NR FP PP IND NR FP PP IND Set up contents to complete task 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 Close Drawer # 1 NR FP PP IND NR FP PP IND NR FP PP IND Pull out Drawer # 2 NR FP PP IND NR FP PP IND NR FP PP IND Take contents out of drawer # 2 NR FP PP IND NR FP PP IND NR FP PP IND Set up contents to complete task NR FP PP IND NR FP PP IND NR FP PP IND 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___________ Complete Task C _______Task complete_______ SD _____Task complete___________ C ______Task contents in drawer___ SD ____Task contents in drawer_ C ______Drawer # 1 closed_______ SD _____Drawer # 1 closed_________ Return task to drawer # 1 C ______Drawer # 2 pulled out__ SD _____Drawer # 2 pulled out_____ C _______Contents in hand______ SD _____Contents in Hand______ C ______Contents set up_______ Baseline 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___________ Response NR FP PP IND NR FP PP IND NR FP PP IND NR FP PP IND NR FP PP IND Close Drawer # 2 NR FP PP IND NR FP PP IND NR FP PP IND Pull out Drawer # 3 NR FP PP IND NR FP PP IND NR FP PP IND Take contents out of drawer # 3 NR FP PP IND NR FP PP IND NR FP PP IND Set up contents to complete task 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 Close Drawer # 3 NR FP PP IND NR FP PP IND NR FP PP IND Pull out Drawer # 4 NR FP PP IND NR FP PP IND NR FP PP IND Take contents out of drawer # 4 NR FP PP IND NR FP PP IND NR FP PP IND Set up contents to complete task 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 Complete Task C _______Task complete_______ SD _____Task complete___________ C ______Task contents in drawer_ SD ____Task contents in drawer_ Return task to drawer # 2 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___________ Complete Task C _______Task complete_______ SD _____Task complete___________ C ______Task contents in drawer___ SD ____Task contents in drawer__ Return task to drawer # 3 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___________ Complete Task C _______Task complete__________ SD _____Task complete___________ C ____Task contents in drawer_____ SD ____Task contents in drawer__ C ______Drawer # 4 closed______ Baseline NR FP PP IND Return task to drawer # 4 Close Drawer # 4 FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND FP PP IND 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 # 29 30 31 32 33 34 35 36 37 38 39 40 41 42 SD / Consequence SD _____Drawer # 4 closed_____ Response NR FP PP IND NR FP PP IND Take contents out of drawer # 5 NR FP PP IND NR FP PP IND NR FP PP IND Set up contents to complete task 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 Close Drawer # 5 NR FP PP IND NR FP PP IND NR FP PP IND Pull out Drawer # 6 NR FP PP IND NR FP PP IND NR FP PP IND Take contents out of drawer # 6 NR FP PP IND NR FP PP IND NR FP PP IND Set up contents to complete task 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 Close Drawer # 6 NR FP PP IND NR FP PP IND NR FP PP IND Turn to face table NR FP PP IND NR FP PP IND NR FP PP IND Raise Hand NR FP PP IND NR FP PP IND NR FP PP IND “All Done” NR FP PP IND NR FP PP IND NR FP PP IND Pull out Drawer # 5 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___________ Complete Task C _______Task complete__________ SD _____Task complete___________ C ______Task contents in drawer___ SD ____Task contents in drawer__ Return task to drawer # 5 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___________ Complete Task C _______Task complete__________ SD _____Task complete___________ C ______Task contents in drawer___ SD ____Task contents in drawer__ Return task to drawer # 6 C ______Drawer # 6 closed_____ SD _____ Drawer # 6 closed_____ C ____ Facing Table______________ SD _____Facing Table_____________ C _____”Yes ______” ______ 43 SD _____ “Yes _____”____________ C _____Independent work is complete Baseline 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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