Child Compliance Tracking Chart
Use this chart each day to record your child’s response to instructions. Note any prompts used, rewards given, and additional observations.
| Date | Instruction Given | Complied? (Y/N) | Prompt Level (None/Verbal/Physical) | Reward Given (if any) | Notes/Comments |
|---|---|---|---|---|---|
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
| __________ | _________________________________ | _______________ | _________________________________ | _________________________ | _________________________________ |
Guidance:
- Instruction Given: Briefly describe the direction you asked of your child.
- Complied?: Mark “Y” for yes, “N” for no.
- Prompt Level: Note if you gave no prompt, a verbal reminder, or physical assistance.
- Reward Given: Record any praise, token, or privilege you used immediately after compliance.
- Notes/Comments: Include any relevant context (mood, distractions, time of day).
Use this chart to track patterns and discuss successes or challenges when refining your Personalized Action Plan Worksheet.