Individueel gedragsprobleeminventarisatie-schema
Naam: ______________________________ Groep: _________ Startdatum: __________
Geboortedatum: _____________ Ingevuld door: ________________________________
1 Omschrijving van het probleemgedrag: ______________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
|
2 Hoe vaak komt het voor? _________________________________________________
_______________________________________________________________________
|
3 In welke situaties komt het voor?____________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
|
4 Sinds wanneer komt het voor? _____________________________________________
_______________________________________________________________________
|
5 Hoe ontwikkelde het probleemgedrag zich? ___________________________________
_______________________________________________________________________
_______________________________________________________________________
|
1 2