STUDENT NAME

1. STUDENT NAME IEP Goal Monitoring DATE TEACHER

2. Goal # 1: Did Student complete classroom/sensory/social activities using provided mini-visual system? (4/5 opportunities) *Oct: Student did not meet criteria for goal # 1

3. Goal # 2: Did Student independently request a break (break box/sensory) when he needed time away from an activity (4/5 opportunities)*Sept & Oct: Student did not meet criteria for goal # 2

4. Goal # 3: Did Student identify and use appropriate “personal space” when interacting and communicating with peers and adults. (4/5 opportunities) * Sept & Oct: Student did not meet criteria for goal # 3

5. Goal # 3 Additional Information • September & October teacher reports: Student had particular difficulty during carpet time - he nearly always touches others during this time. • “crushing hugs” in the classroom

6. Goal # 4: Did Student initiate play with peers by using social language phrases and questions to engage others. (4/5 opportunities)*Student met criteria for goal # 4 in October which was an improvement from September

7. Goal # 5: Did Student understand “losing is ok” by following game rules and by using appropriate social phrases / nonverbal communication during game play (4/5 opportunities)* Sept & Oct: Student did not meet criteria for goal # 5

8. Overall- October goals • Student did not meet criteria for goals #1, 2, 3 & 5 • Student met criteria for goal # 4 in October which was an improvement from September