Student Name: ______________________________________________ Grade: __________________

Instructional Task: ________________________________________________________________________________

_________________________________________________________________________________________________

Student Performance: _____________________________________________________________________________

KEY: I – Independently V – Verbal/signed prompt M – Modeled prompt

T – Touch Cue PP- Partial Physical prompt F – Full physical guidance

Dates
Task Analysis Steps:
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Notes:

Task Analysis/Level of Prompting Data Sheet (10 steps)