Multi-Target Behavior Data Sheet



VB-Mapp: Motor Imitation Level 2

Name: __________________ Date: ____________

Person Completing Assessment: ____________________________

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Item 10: Student will imitate (or attempts to with approximation) any novel motor action modeled by an adult with and without objects (give 1 point if the child can imitate many novel motor actions with and without objects modeled by an adult and when prompted with, “Do this”

Notes:

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Materials Needed:

-2 cars, 2 sticks, 2 maracas, 2 dolls, 2 cups, 2 bells, 2 pom poms, 2 balls, 2 blocks

-toy with buttons, toy that can be squeezed, small amount of play-dough, clothespin, penny

-spoon, play cookie

-knowledge of specific ASL letters & words (see Item 7)

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