Teacher Name:	Click or tap here to enter text.	CPID of Child:	Click or tap here to enter text.
Classroom:	Click or tap here to enter text.	Date of Observation:	Click or tap to enter a date.
DECA Score:	Click or tap here to enter text.	Parent Conference Date:	Click or tap to enter a date.
Strengths of Child:
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Describe the Behavior: (use objective, clear descriptors—just what you see/hear)
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When and Where is Behavior Observed?
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What is Happening Before, During and After Behavior?
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What Strategies Have Been Utilized?
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Additional Information (family collaboration, cultural considerations, Child Plus documentation, etc.):
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