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Reinforcer Inventory for _________________________________ DOB: ___________

Date: ____________________________ Person Completing the Inventory: _______________________________________________ PLEASE MAKE A CHECKMARK IN THE BOX THAT APPLIES TO THE INDIVIDUAL.

Toys / Games / Play Things Very Much Fair Amount

Not at all

Vehicles Garage and vehicles Racing cars and track Trains Thomas the Tank Engine Action Figures Transformers Dolls Dollhouse and Figures Animals Castles and knights Stuffed animals Blocks, Legos Construction toys Remote control toys/vehicles Play Doh Imaginary play, wearing costumes Puzzles Board Games Button/dial toys Lotto/Bingo games Others:

Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Toys & Games)

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Audi-Visual / Tech Very Much Fair Amount

Not at all

Watching TV Favorite Shows:

Watching DVDs Favorite DVDs:

Listening to music Favorite:

Playing Computer Games Favorites:

Playing Videogames Favorites:

Using the Computer /Laptop Favorite Activities:

Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Audio-Visual/Tech)

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Audi-Visual / Tech (Continued)

Very Much Fair Amount

Not at all

Using the iPod/Touch Favorite Activities:

Using the iPad Favorites Activities

Using the Cell or Smart Phone Favorite Activities:

Using a video camera Making videos or movies Using a camera Using a tape recorder Using a MP3 Player Looking at photographs Creating websites, webpages Others:

Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Audio Visual / Tech 2)

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Sports and Motor Very Much Fair Amount

Not at all

Team Sports Favorites:

Individual Sports Favorites:

Gymnastics Favorite Activities:

Martial Arts Yoga Dance Taking walks Going on hikes Bike riding Swimming Bowling Skiing Ice skating Horseback riding Miniature golf Jumping on a trampoline Using a scooter Others:

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Music / Arts/ Crafts Very Much Fair Amount

Not at all

Playing an instrument Favorites:

Being in a musical group Singing Writing/composing music Writing/composing lyrics Using a microphone Drama/acting Doing art Favorites:

Doing crafts Favorites:

Building models Working with tools Sewing Knitting Needlepoint, latch hook Using a scooter Others:

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Food / Snacks / Treats Very Much Fair Amount

Not at all

Candy Favorites:

Cookies, Cake, Muffins Favorites:

Salty Treats (Chips, Crackers, Pretzels)

Favorites:

Ice Cream Other treats:

Favorite Food/Meals:

Favorite Drinks:

Favorite Places to Eat out:

Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Food/Treats)

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Social / Interactive Very Much Fair Amount

Not at all

Receiving 1:1 attention Receiving attention in a group Talking/communicating with others Having others listen Telling jokes, being funny Laughing, giggling Greeting others Receiving praise & compliments Being touched Touching others Hugging and kissing Sitting next to others Playing or being with adults Playing or being with siblings Playing or being with family Playing with peers (parallel) Playing with peers (cooperative) Having a play date at home Having a play date at peer’s home Having parties Going to parties Being in a club or group Participating in group activities Participating in social skills group Playing games with others Going on dates Having a girl/boyfriend Having a best friend

Dr. Robin D. Allen,Reinforcer Inventory (Social)

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Social / Interactive (Continued)

Very Much Fair Amount

Not at all

Calling people on the phone Who?

Getting phone calls From Whom?

Sending e-mail to others Who?

Texting others Who?

Writing letters to others Making cards for others Receiving gifts Giving gifts Being helpful Using manners Sharing Taking turns Initiating interactions Others:

Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Social Interactive 2)

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Personal / Domestic Very Much Fair Amount

Not at all

Looking in the mirror Taking a bath or shower Washing/drying/styling hair Having hair done – stylist/barber Wearing make-up Wearing jewelry Wearing special clothes Wearing perfume/cologne Getting manicure/pedicure Wearing hats Wearing glasses Wearing accessories Setting up new bedroom Cleaning up Baking/cooking Preparing a menu Caring for pet(s) Doing chores What chores?

Doing yard work Washing the car Bringing in the mail Having a job Others:

Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (Personal / Domestic)

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Sensory / Self-Stimulatory Very Much Fair Amount

Not at all

Spinning around Climbing in surfaces Climbing up high Jumping Swinging Running around Rocking while seated Rocking while standing Pacing Spinning Flapping hands/fingers Flicking fingers Bouncing while seated Chewing on items Licking things Sucking things Tapping things/people/surfaces Lining items up Spinning items/objects Watching things move Playing with hair/clothing Doing repetitious activities Stacking items Making vocalizations Repeating vocalizations Repeating verbalizations Playing with hand fidgets Having deep pressure on body Others:

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Academic / School Very Much Fair Amount

Not at all

Math Science Social Studies History English Language Arts Computer / Media Lab Writing Reading Spelling Art PE Music Drama Recess outside Free time in classroom Lunch, snack Band, orchestra, chorus Plays, assemblies Using computer in class Walking in the hall with friends Sitting with friends at lunch Riding the bus Going on field trips Having a school job Behavior/Reward Charts Teachers and staff No school days Others: Dr. Robin D. Allen, Reinforcer Inventory (School)

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Community / Outings Very Much Fair Amount

Not at all

Riding in the vehicle Eating out for fast food Eating out in restaurant Going to the grocery store Going to the park Going to the playground Going to the library Going for a walk Going to the toy store Going to the book store Going to the mall Going out for ice cream, yogurt Going to the drug store Going to church or synagogue Getting a haircut Going to the pool Going to YMCA, JCC Going to Washington DC Riding on the subway Going to the zoo Going to the aquarium Going to the movies Going to the video store Going to arcades Going to a picnic Going to a fair Going to a concert Going on vacation Others: Dr. Robin D. Allen, (Community)

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Miscellaneous Very Much Fair Amount

Not at all

Reading Favorites:

Being read to Looking at book & magazines Having free time Staying up late Sleeping late in the morning Writing in a diary or journal Being left alone Scheduling the day Celebrating holidays Collecting items What?

Having subscriptions Buying things on-line Receiving stickers, stars, stamps Receiving tokens on a token board Receiving certificates Receiving medals, badges, trophies Earning allowance Earning money Saving money Spending money Others:

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FAVORITE THINGS

Colors Numbers Animals Songs Friends Pets Musical groups Sports teams Holidays Actors Actresses Sports figures People Game Flowers People Teachers Therapists Season Store Car School subject Things to do Dr. Robin D. Allen, Behavior Specialist, Reinforcer Inventory (FAVORITE THINGS)