Weekly Progress Report

© 2013 Because We Care, LLC All rights reserved. Weekly Progress Report ~ Updated 08/20/13

Week of: BST Weekly Service Hours:

Client Name: Date of Birth:

Behavior Specialist: Qualifications: BST PSR

Weekly Short-Term Objectives/Skills Training:

1 2 3 4 5 6 7 8 9

10 11 12 13 14

Basic Living and Self Care Skills Team Building Skills Self-Advocacy Skills Empathy Age Appropriate & Safe Behaviors Time Management/Daily Routine Problem Solving Skills Transitional Living Skills Parenting Skills Appropriate Communication Skills Cooking Skills Controlling Anger Management Honesty/Manipulation Role Play & Exercises

15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Transportation Skills Utilizing Resources Listening Skills Sanitation & Cleanliness Appropriate Peer Interactions Respecting Authority Figures Organizational Skills Money Management Choices/Decision Making Skills Accepting Constructive Criticism/Praise Self-Efficacy Impulse Control Realistic Goal Setting Appropriate Public Behavior/CBT Other:_________________________________

Rating System: 5- Excellent / 4- Good / 3- Fair / 2-Needs Improvement / 1-Poor Day of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Date of Service

AM/PM Services

Skill Training #

Daily Rating

***Total Daily Hours of

Service(s):

Specialist Intervention/Treatment Outcome:

Behavior Specialist Signature: ________________________________________________________ Date: _____________________

Supervisor Signature: _______________________________________________________________ Date: _____________________

Weekly Progress Report

© 2013 Because We Care, LLC All rights reserved. Weekly Progress Report ~ Updated 08/20/13

Specialist Intervention/Treatment Outcome: (Notes Continued)

Behavior Specialist Signature: ________________________________________________________ Date: _____________________

Supervisor Signature: _______________________________________________________________ Date: _____________________