Sample Implementation Outcomes Checklist
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You might also want to develop a way to help the teacher with implementation fidelity. Check out this approach to using a data-based system for tracking implementation fidelity. The process involves identifying all the plan steps and then taking data on implementation.
Transcript of Sample Implementation Outcomes Checklist
Child's Name:
Implementation Check list Percentage of Items Being Implemented
Coaching Day 1 Coaching Day 5 Completed by: Completed by:
Amount n = 70 Percentage
Amount n =70 Percentage
YES 30 43% YES 0%NO 12 17% NO 0%
Coaching Day 1 ‐ 7/1/2010Anne
Coaching Day 5 ‐ 8/5/2010
43%24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
Tr came to school late; No Checklist was
l NO 12 17% NO 0%SOMETIMES 17 24% SOMETIMES 0%N/A 11 16% N/A 0%
Completed by: Completed by:Coaching Day 2 ‐ 7/9/2010
AnneimCoaching Day 6 ‐ 8/18/2010
Anne
43%
17%
24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
Coaching Day 27/9/2010
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
Coaching Day 6 8/18/2010
Trenell came to school late; No Checklist was complete
Completed by: Completed by:Amount n =70 Percentage
Amount n =70 Percentage
YES 47 67% YES 54 77% NO 12 17% NO 2 3%SOMETIMES 6 9% SOMETIMES 8 11%
Anne
43%
17%
24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
67%17%
9%7%
Coaching Day 27/9/2010
YESNOSOMETIMESN/A
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
77%
3%11%
9%
Coaching Day 6 8/18/2010
YESNOSOMETIMESN/A
Trenell came to school late; No Checklist was complete
SOMETIMES 6 9% SOMETIMES 8 11%N/A 5 7% N/A 6 9%
Completed by:Amount
Coaching Day 3 ‐ 7/15/2010Anne
43%
17%
24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
67%17%
9%7%
Coaching Day 27/9/2010
YESNOSOMETIMESN/A
10%
Coaching Day 37/15/2010
YESNO
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
77%
3%11%
9%
Coaching Day 6 8/18/2010
YESNOSOMETIMESN/A
Trenell came to school late; No Checklist was complete
n =70 Percentage
YES 44 63% NO 8 11%SOMETIMES 11 16%N/A 7 10%
43%
17%
24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
67%17%
9%7%
Coaching Day 27/9/2010
YESNOSOMETIMESN/A
63%11%
16%
10%
Coaching Day 37/15/2010
YESNOSOMETIMESN/A
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
77%
3%11%
9%
Coaching Day 6 8/18/2010
YESNOSOMETIMESN/A
Trenell came to school late; No Checklist was complete
Completed by:Amount n = 70 Percentage
Anne Coaching Day 4 ‐ 7/27/2010
43%
17%
24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
67%17%
9%7%
Coaching Day 27/9/2010
YESNOSOMETIMESN/A
63%11%
16%
10%
Coaching Day 37/15/2010
YESNOSOMETIMESN/A
4%11%
7%
Coaching Day 4 7/27/2010
YESNOSOMETIMESN/A
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
77%
3%11%
9%
Coaching Day 6 8/18/2010
YESNOSOMETIMESN/A
Trenell came to school late; No Checklist was complete
YES 55 79% NO 3 4%SOMETIMES 8 11%N/A 5 7%
43%
17%
24%
16%
Coaching Day 17/1/2010
YESNOSOMETIMESN/A
67%17%
9%7%
Coaching Day 27/9/2010
YESNOSOMETIMESN/A
63%11%
16%
10%
Coaching Day 37/15/2010
YESNOSOMETIMESN/A
79%
4%11%
7%
Coaching Day 4 7/27/2010
YESNOSOMETIMESN/A
Coaching Day 5 8/5/2010
YESNOSOMETIMESN/A
77%
3%11%
9%
Coaching Day 6 8/18/2010
YESNOSOMETIMESN/A
Trenell came to school late; No Checklist was complete
