Client Name Date:__________________ Interval Collection Data: Insert Student Name Date:__________________ Frequency Definition:

Client Name Date:__________________
Interval Collection Data: Insert Student Name Date:__________________
Frequency Definition: Tally the total # of times a behavior occurs within a time
period- each attempt/success is considered one occurrence (tally)
Behavioral Definition: _______________________________________________________
_________________________________________________________________________________
Behavioral Definition: _______________________________________________________
_________________________________________________________________________________
Time:
Behavior #1
Behavior #2
Comments
TOTAL
*Please total the number of tallies at the end of the day
*Please do not write comments on the interval areas, unless otherwise indicated
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