PECS Phase I Student
Uploaded by
oanhsquirrelPECS Phase I Student
Uploaded by
oanhsquirrelPECS Phase I
Student:_________________________
Staff Date Activity Item Pick-Up Reach Release Open Hand
Initials
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
FP PP + FP PP + FP PP + YES No
KEY:
FP = Full Physical Prompt
PP = Partial Physical Prompt
+ = Independent
YES = The open hand is still visible
NO = The open hand has been faded
PECS Phase II
Student:___________________________________
Staff Date Activity Item Dist. to CP +/- Dist. to Book +/-
Initials
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
0-3 3-6 6-9 >9 + - 0-3 3-6 6-9 >9 + -
KEY:
Circle the approximate distance traveled
Distances are listed in feet
+ = moved the indicated distance independently
- = needed assistance from the physical prompter or required the backstep error correction procedure
PECS Phase IIIA (preferred vs. non-preferred or contextually irrelevant)
Student:__________________________________
Staff Initials Date Activity Preferred Item Non-Preferred Item Performance
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
KEY : Effective “Switches: Effective non-preferred items
+ = correct performance __________________ _______________________
- = incorrect performance __________________ _______________________
__________________ _______________________
__________________ _______________________
__________________ _______________________
__________________ _______________________
PECS Phase IIIB (preferred vs. preferred)
Staff Initials Date Activity Preferred Item Preferred Item Performance
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
KEY: Effective “Switches”
+ = correct performance ______________________
- = incorrect performance ______________________
______________________
______________________
______________________
PECS Phase IIIB (3-Way)
Staff Date Activity Preferred Item Preferred Item Preferred Item Performance
Initials
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
KEY: Effective “Switches”
+ = correct performance _______________________
- = incorrect performance _______________________
_______________________
_______________________
_______________________
PECS Phase IIIB (4-Way)
Staff Date Activity Preferred Preferred Preferred Preferred Performance
Initials Item Item Item Item
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
KEY: Effective “Switches”
+ = correct performance _______________________
- = incorrect performance _______________________
_______________________
_______________________
_______________________
PECS Phase IIIB (5-Way)
Staff Date Activity Preferred Preferred Preferred Preferred Preferred Performance
Initials Item Item Item Item Item
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
KEY: Effective: “Switches”
+ = correct performance ___________________
- = incorrect performance ___________________
___________________
___________________
___________________
PECS Phase IV
Staff Date Activity Item Drops Drops icon Removes Exchange Comments
Initials Sentence for item strip
Starter
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G +
KEY: Note:
FP = Full physical prompt Since Phase IV is taught using backward
PP = Partial physical prompt chaining, you should see +s in the far right
G = Gesture column first, and then the far right two
+ = independent columns, etc. until all columns are +s
PECS Phase IV with Correspondence Checks
Student:_________________________ Date:____________________
Staff Activity Item Drops Drops icon Removes Exchange Correspondence Check
Initials Sentence for item strip performance (icon for
Starter the item)
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + + -
KEY: Note:
FP = Full physical prompt Since Phase IV is taught using backward
PP = Partial physical prompt chaining, you should see +s in the far right
G = Gesture column first, and then the far right two
+ = independent columns, etc. until all columns are +s
PECS Phase IV with attributes
Student:_________________________ Date:____________________
Staff Activity Item Drops Drops Drops icon Removes Exchange
Initials Sentence Attribute for item strip
Starter Icon
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G +
KEY: Note:
FP = Full physical prompt Since Phase IV is taught using backward
PP = Partial physical prompt chaining, you should see +s in the far right
G = Gesture column first, and then the far right two
+ = independent columns, etc. until all columns are +s
PECS Phase IV (attributes) with Correspondence Checks
Student:_________________________ Date:____________________
Staff Activity Item Drops Drops Drops Removes Exchange Correspondence
Initials Sentence Attribute icon for strip Check
Starter icon item performance
(attribute icon)
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
FP PP G + FP PP G + FP PP G + FP PP G + FP PP G + + -
KEY: Note:
FP = Full physical prompt Since Phase IV is taught using backward
PP = Partial physical prompt chaining, you should see +s in the far right
G = Gesture column first, and then the far right two
+ = independent columns, etc. until all columns are +s
Phase V
Student:_____________________________
Staff Date Activity Item Pause interval Did the student
Initials (seconds) “beat” the prompt?
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
0 1 2 3 4 5 YES NO
KEY:
Yes = student responded to the question BEFORE a prompt was given
No = student needed the prompt to the sentence starter
Phase IV and V tracking form within the same activity
Student: ___________________ Date: ______________________
Staff Activity Item Phase IV or V If Phase V, form of the question
Initials
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
IV V
Key:
IV = Request was spontaneous
V = Student requested in response to a question
Phase VI
Student: _______________________ Date: ___________________
Staff Activity Item Sentence Pause interval Did the student beat the prompt?
Initials starter used (seconds)
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
0 1 2 3 4 5 Yes No
Key:
Yes = student responded to the question BEFORE a prompt was given
No = student needed the prompt to the sentence starter
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