Family Road Map Guide
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Behavior Log<br />
Behavior Log for:<br />
Medications:<br />
Log begun (month, day, and year):<br />
Date<br />
What happened, or what was the<br />
behavior?<br />
Where and when did the behavior<br />
take place?<br />
(Example: At school, during<br />
recess, while doing homework.)<br />
What was taking place right before<br />
the behavior happened?<br />
(Example: Change in family plans,<br />
child told “no” about something<br />
he wanted, argument with sibling.)<br />
Other comments, details, or<br />
factors involved? (Meds change?<br />
Illness? Event in family?)<br />
<strong>Family</strong> <strong>Road</strong> <strong>Map</strong>: A Step-By-Step <strong>Guide</strong> to Navigating Health, Education, and Insurance Services for Families with Special Needs. Copyright © 2017, Melton Hill Media, LLC. All rights reserved.<br />
What happened AFTER the<br />
behavior took place? (What<br />
actions did you, the child or youth,<br />
or others take?)<br />
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