The document contains a toilet training data collection form to record prompts given, independence level, outcome of pants checks, and number of successes over multiple training sessions. Key details recorded include date, training interval duration, time, prompts, independence level, whether the pants were dry/wet/soiled, and if there was no elimination, a bowel movement, or urination. Totals for number of trips taken, initiations, dry pants, and successes are calculated to track progress. The goal is to meet mastery criteria of two consecutive sessions with zero accidents before increasing the training interval duration.
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Toilet Training Data Sheet
The document contains a toilet training data collection form to record prompts given, independence level, outcome of pants checks, and number of successes over multiple training sessions. Key details recorded include date, training interval duration, time, prompts, independence level, whether the pants were dry/wet/soiled, and if there was no elimination, a bowel movement, or urination. Totals for number of trips taken, initiations, dry pants, and successes are calculated to track progress. The goal is to meet mastery criteria of two consecutive sessions with zero accidents before increasing the training interval duration.
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Toilet Training Data Collection
Date: Training Interval: min Date: Training Interval: min
Time Prompt = P Pants Check Outcome: Time Prompt = P Pants Check Outcome: Indep = I Dry/Wet/Soil No Elim, BM, Indep = I Dry/Wet/Soil No Elim, BM, Urine Urine P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U Total # of # of Dry Pants: # of Total # of # of Dry Pants: # of Trips: Initiations: Successes: Trips: Initiations: Successes:
Date: Training Interval: _______min Date: Training Interval: min
Time Prompt = P Pants Check Outcome: Time Prompt = P Pants Check Outcome: Indep = I Dry/Wet/Soil No Elim, BM, Indep = I Dry/Wet/Soil No Elim, BM, Urine Urine P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U P I D W S NE B U Total # of # of Dry Pants: # of Total # of # of Dry Pants: # of Trips: Initiations: Successes: Trips: Initiations: Successes:
Mastery Criteria: 2 consecutive sessions with 0 accidents, increase time interval by 5 minutes