Routines & Comm Worksheet (Blank & Sample)

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Routines and Communication in the Home and Classroom Worksheet

Steps within routines

Routine Steps Vocabulary for


Requesting
1. ___________________________ 1. __________
2. __________________________ 2. _________
3. _____________________________ 3. ________
4. ____________________________ 4. _________
5. ___________________________ 5. _________
6. _____________________________ 6. _________
7. _____________________________ 7. _________
Sabotage strategy once 8. _____________________________ 8. _________
routine is mastered:
9. ___________________________ 9. _________
REINFORCEMENT:

Date
Item
Response
Staff

© Copyright 2020, Pyramid Educational Consultants. May be reproduced.


Routines and Communication in the Home and Classroom Worksheet
Steps within routines (SAMPLE)

Routine Steps Vocabulary for


Requesting
washing hands 1. enter bathroom________________ 1. __________
2. turn on water___________________ 2. Water_____
3. get hands wet__________________ 3. _________
Sabotage strategy once 4. put soap on hands________________ 4. soap______
routine is mastered: prior to
learner arriving in bathroom,
5. rub hands_____________________ 5. _________
vary: turn water off tightly, 6. rinse hands____________________ 6. _________
hide soap, hide towel 7. dry hands_________________ ___ 7. towel_____
REINFORCEMENT: finishing the routine for the
next activity (snack or meal)
Routine was intact. No requesting necessary Learner requested when no request was necessary.

Date 11/6 11/7 11/8 11/9 11/10 11/13 11/14 11/15 11/16 11/17
Item none soap towel none none absent towel water water soap
Response + + + - + + - + +
Staff

© Copyright 2020, Pyramid Educational Consultants. May be reproduced.

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