Behavior Frequency Tracker Form
FBA Data Tool Single-Day Frequency Record
BEHAVIOR FREQUENCY TRACKER
Standardized interval and period recording for Functional Behavior Assessment
FORM FBA-01
Page 1 of 2 • Daily Log
Student Name
Date / Day
Grade / Placement
Primary Observer & Title
Target Behavior Operational Definitions
Behaviors must be observable, measurable, and clearly bounded
B1: ________________________________ Code: B1
Operational Definition:
Baseline: _______ / hr • Target Goal: ≤ _______ / day
B2: ________________________________ Code: B2
Operational Definition:
Baseline: _______ / hr • Target Goal: ≤ _______ / day
Period / Interval Frequency Grid
Tally: Hash marks (|||| = 5) Intensity: 1 = Mild, 2 = Moderate, 3 = Severe
| Time / Period | Subject / Activity & Setting | B1 Frequency Tally | B1 Tot | B2 Frequency Tally | B2 Tot | Intensity (1-3) | Primary Antecedent / Trigger | Init. |
|---|
| 8:00 - 8:45 | Homeroom / Morning Work | | | | | | | |
| 8:45 - 9:30 | English Language Arts | | | | | | | |
| 9:30 - 10:15 | Small Group / Reading Lab | | | | | | | |
| 10:15 - 11:00 | Mathematics (Whole Group) | | | | | | | |
| 11:00 - 11:45 | Specialist (PE / Art / Music) | | | | | | | |
| 11:45 - 12:30 | Lunch & Recess (Unstructured) | | | | | | | |
| 12:30 - 1:15 | Science / STEM Hands-On | | | | | | | |
| 1:15 - 2:00 | Social Studies / Writing | | | | | | | |
| 2:00 - 2:45 | Independent Work / Intervention | | | | | | | |
| 2:45 - 3:15 | Pack-Up / Dismissal Routine | | | | | | | |
| Daily Totals & Frequency Rate: | Sum B1 Tallies | | Sum B2 Tallies | | Total Observation Time: _______ hrs | | | |
Frequency Metrics
B1 Rate Per Hour: _______ / hr
B2 Rate Per Hour: _______ / hr
Peak Problem Period: _______________
Setting Events / Factors
Medication Poor sleep Disrupted sched. Hunger/illness Substitute Peer conflict
Replacement Behavior
Target: _____________________________
Independent: _____ Prompted: _____
Reinforcer Delivered: [ ] Yes [ ] No
Observer Signature: ___________________________________ Date Verified: ______________
Behavior Support Plan Data Collection • Confidential Student Record
FBA Trend & Analysis Multi-Period Frequency Synthesis
WEEKLY FREQUENCY & SPIKE LOG
Cross-day frequency patterns and antecedent-behavior-consequence spike episodes
FORM FBA-02
Page 2 of 2 • Weekly & ABC
Student Name
Week Of (Mon - Fri)
Targeted Focal Behavior
5-Day Frequency Distribution Matrix
Record total counts per period to pinpoint environmental patterns
| Daily Period / Routine | Monday | Tuesday | Wednesday | Thursday | Friday | Period Tot. |
|---|
| Period 1: Morning Entry & Homeroom | | | | | | |
| Period 2: Direct Instruction / ELA | | | | | | |
| Period 3: Small Groups / Literacy | | | | | | |
| Period 4: Mathematics | | | | | | |
| Period 5: Specialists / PE / Arts | | | | | | |
| Period 6: Cafeteria & Recess | | | | | | |
| Period 7: Science / Social Studies | | | | | | |
| Period 8: Independent Work / Wrap-Up | | | | | | |
| Daily Total Counts | | | | | | |
| Behavior Goal Met? (≤ Target) | [ ] Yes [ ] No | [ ] Yes [ ] No | [ ] Yes [ ] No | [ ] Yes [ ] No | [ ] Yes [ ] No | _____ / 5 Days |
Peak Frequency / High-Intensity ABC Episode Log
Complete whenever behavior occurs ≥ 3x in a single session or with high intensity
| Date/Time | Antecedent (Trigger / Demand) | Specific Behavior & Topography | Consequence / Staff Response | Apparent Function |
|---|
| ___/___ | | | | |
| ___:___ | | | | |
| [ ] Escape Task | | | | |
[ ] Peer/Adult Attn
[ ] Access Tangible
|
| ___/___
___:___ | | | |
[ ] Escape Task
[ ] Peer/Adult Attn
[ ] Access Tangible
|
| ___/___
___:___ | | | |
[ ] Escape Task
[ ] Peer/Adult Attn
[ ] Access Tangible
|
Functional Analysis & Environmental Adjustments
Weekly Team Review Findings
1. Environmental Patterns & High-Probability Triggers
Which settings, tasks, or transitions correlate with highest frequency spikes?
2. Recommended Accommodations & Antecedent Adjustments
Modifications to visual schedules, demand pacing, sensory input, or breaks:
Case Manager / BCBA: ___________________________________ Team Review Date: ______________
Target Frequency Review Cycle: [ ] Baseline [ ] Intervention Phase 1 [ ] Maintenance