12 Jul Worksheet for Prioritizing Potential Behaviors

Client’s/Student’s name: ___________________________________________

Date: _______________

Person completing worksheet: _________________________________________________

Rater’s relationship to client/student: ____________________________________________

Directions: Use the key below to rank each potential target behavior by the extent to which it meets or fulfills each prioritization criteria. Add each team member’s ranking of each potential target behavior. The behaviors with the highest total scores would presumably be the highest priority for intervention. Other criteria relevant to a particular program or individual’s situation can be added, and the criteria can be differentially weighted.

Key: 0 = No or Never; 1= Rarely; 2 = Maybe or Sometimes; 3 = Probably or Usually; 4 = Yes or Always

          Potential Target Behavior

         (1)_____ (2)_____ (3)_____ (4)_____

Totals                                                                                    _____       _____     _____     _____