Time Sampling Record Sheet 10-minute intervals Student:
Date:
Behavior: Type of Time Sampling (Circle 1, 2, or 3 below) Type 1: Whole Interval += behavior is continuous in the interval + or -
Type 2: Partial Interval += single instance is observed in the interval
Comments*
+ or -
Type 3: Momentary += record only if behavior present at end of the interval
Comments*
+ or -
8:00-8:09
11:10-11:19
2:20-2:29
8:10-8:19
11:20-11:29
2:30-2:49
8:20-8:29
11:30-11:49
2:50-2:59
8:30-8:49
11:50-11:59
3:00-3:09
8:50-8:59
12:00-12:09
3:10-3:19
9:00-9:09
12:10-12:19
3:20-3:29
9:10-9:19
12:20-12:29
3:30-3:49
9:20-9:29
12:30-12:49
3:50-3:59
9:30-9:49
12:50-12:59
4:00-4:09
9:50-9:59
1:00-1:09
4:10-4:19
10:00-10:09
1:10-1:19
4:20-4:29
10:10-10:19
1:20-1:29
4:30-4:49
10:20-10:29
1:30-1:49
4:50-4:59
10:30-10:49
1:50-1:59
5:00-5:09
10:50-10:59
2:00-2:09
11:00-11:09
2:10-2:19
The BIP Desk Reference www.pent.ca.gov
Comments*
Section 3 4
Intensity Rating Scales
Student: Page:
Behavior:
Scale #
of
1
2
3
4
5
6
7
8
9
10
Behavior:
Scale #
1
2
3
4
5
6
7
8
9
10
Behavior:
Scale #
1
2
3
4
5
6
7
8
9
10
Example of Intensity: Swearing, Scale 1-4 1 – soft mouthing of swear words – no sound 2 – barely audible swear word The BIP Desk Reference www.pent.ca.gov
3 – normal voice swearing 4 – shouting swear words Section 3 5