Author: None

Hickory Creek
Student Name:__________________ Staff:___________________ Date:___________

I= Independent P=Physical Prompt V=Verbal Prompt G=Gesture Prompt T= Text Prompt

1. Go to work area	I P V G T
2. Clean food off of dishes	I P V G T
3. Clean tables	I P V G T
4. Painted residents nails	I P V G T
5. Visited with residents	I P V G T