BCBA Performance Scorecard - Intensive

Name:_________________ Supervisor: ___________________ Date:_____________

1-on-1 Meetings
Week 1 0% 50% 100% X Raw Score
Behavior/Results (0) (5) (10) Weight (0, 5, or 10) Points
Filled out the Clinical Troubleshooting
Checklist 10
(percentage of clients, rounded down)
Yes No X Raw Score
(10) (0) Weight (10 or 0) Points
Filled out Clinical Supervision Agenda 5
Met supervision requirement 5
Arrived at meeting on time 1
Brought one graph per client 1
Turned service notes/billing
1
documents in on time
Filled out Staff Feedback Forms 1
Score:
Goal:
Week 2 0% 50% 100% X Raw Score
Behavior/Results (0) (5) (10) Weight (0, 5, or 10) Points
Filled out the Clinical Troubleshooting
Checklist 10
(percentage of clients, rounded down)
Yes No X Raw Score
(10) (0) Weight (10 or 0) Points
Filled out Clinical Supervision Agenda 5
Met supervision requirement 5
Arrived at meeting on time 1
Brought one graph per client 1
Turned service notes/billing
1
documents in on time
Filled out Staff Feedback Forms 1
Score:
Goal:
 1-on-1 Meetings
Week 3 0% 50% 100% X Raw Score
Behavior/Results (0) (5) (10) Weight (0, 5, or 10) Points
Filled out the Clinical Troubleshooting
Checklist 10
(percentage of clients, rounded down)
Yes No X Raw Score
(10) (0) Weight (10 or 0) Points
Filled out Clinical Supervision Agenda 5
Met supervision requirement 5
Arrived at meeting on time 1
Brought one graph per client 1
Turned service notes/billing
1
documents in on time
Filled out Staff Feedback Forms 1
Score:
Goal:
Clinical Review Meeting
Yes No X Raw Score
Behavior/Results Weight (10 or 0)
(10) (0) Points
Clinical Review Agenda completed 5
Summarized findings from Clinical 5
Troubleshooting Checklist
Questions BCBA asked the group
indicate that appropriate 5
troubleshooting has been completed
Brought at least one graph, per client 5
Arrived at meeting on time 1
Presented on all clients. If not, had
acceptable rationale for not presenting 1
on certain clients
Score:
Goal: