Child Name: BASELINE Playing With Food Data Sheet Technicians Target Actual Time Eating Playing Initials Time 7:30 7:49 Appropriately W/ Food With prompting No Yes or No 8:00 W/P - No 8:30 W/P - No 9:00 W/P - No 9:30 9:37 W/P-NO Yes 10:00 10:01 W/P -No Yes 10:30 W/P - No 11:00 W/P - No 11:30 W/P - No 12:00 12:04 W/B - No No 12:30 W/P - No 1:00 W/P - No 1:30 W/P - No 2:00 W/P No 2:30 W/P - No 3:00 3:02 W/P -No Yes Notes Date: defined as any instance that Sarah would have an item of food and rub the item across her palm or lips in full motion. An example of this is when she eats a peanut butter and jelly sandwich, she would unravel the sandwich and use a finger to wipe the peanut butter and jelly on her palms. She would also take a piece of bread and rub the peanut butter and jelly across her lips and then tongue. Non-example would be Sarah simply picking up the sandwich and getting a small amount on her fingers that squeeze out of the sandwich.[ Child Name: BASELINE Licking palms Data Sheet Date: + Technicians Target Actual Time Use a napkin Initials Time Licking Notes palms 7:30 7:55 With prompting No Yes or No 8:00 8:05 W/P - No 8:30 W/P - No 9:00 W/P - No 9:30 9:40 W/P-NO Yes 10:00 10:05 W/P-No Yes 10:30 W/P - No 11:00 W/P - No 11:30 W/P - No 12:00 12:04 W/P - No No 12:30 12:07 W/P - No Yes 1:00 W/P - No 1:30 W/P - No 2:00 W/P No 2:30 W/P - No 3:00 3:05 W/P-No Yes would have an open palm and lick her palm in an up or down motion. This behavior excludes placing her palm over her mouth or cheeks. Child Name: BASELINE Nose Picking Data Sheet Date: Technicians Target Actual Time Use of Tissue Nose Notes Initials Time Picking 7:30 With prompting/ No Yes or No 8:00 8:16 W/P -No Yes 8:30 W/P-No 9:00 9:02 W/P - No No 9:30 9:35 W/P-NO Yes 10:00 W/P No 10:30 W/P - No 11:00 11:03 W/P-NO Yes 11:30 W/P - No 12:00 12:22 W/P-NO Yes 12:30 W/P - No 1:00 1:02 W/P -No Yes 1:30 1:33 W/P-NO Yes 2:00 2:12 W/P -No Yes 2:30 W/P - No 3:00 3:33 W/B - No Yes defined as any instance that Sarah uses any finger and places her finger 1/4 inches within her nostril. This behavior excludes Sarah from using her finger to scratch the philtrum (underneath her nose) area of her face and sniffing her mucus back.