PECS Phase I Student
PECS Phase I Student
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:
PECS Phase II
Student:___________________________________
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
Staff Date Activity Preferred Item Preferred Item Preferred Item Performance
Initials
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
+ -
KEY: Effective “Switches”
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:
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
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
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:_____________________________
KEY:
Key:
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: