HTML Preview IMR Goal Tracking Sheet page number 1.
Example of an IEP Goal Tracking Sheet
Name: Jane Doe Date that Long-term Goal was Set: October 31, 2008
Long-term (Meaningful) Goal: Have a boyfriend
Achieved (date): Modified* (date):
* Start a new Goal Tracking Sheet if the Long-term Goal is modified or a new goal is set
Short-term Goals (place a √ after steps achieved):
1. Lose weight 2. Improve hygiene 3. Improve conversations
Steps Steps Steps
1. Eat 1 bag of chips (versus 2) 1. Separate clean/dirty laundry 1. Draft list of possible topics
2. Drink diet soda instead of regular 2. Do laundry 2X per week 2. Pract. start. conversations
3. Walk around my block daily 3. Brush teeth a.m./p.m. 3. Pract. ending conversations
4. Use Splenda in coffee 4. Shower daily 4. Conversations w/neighbors
Start date: 10/31/2006 Start date: 11/13/2006 Start date: 12/1/2006
Date reviewed: 12/1/2006 Date reviewed: 12/15/2006 Date reviewed: 1/3/2007
Achieved: Fully Achieved: Fully Achieved: Fully
Partially Partially Partially
Not at all Not at all Not at all
Modified/Next Steps: Modified/Next Steps: Modified/Next Steps:
1. Eat 1 bag of pretzels (instead of chips) 1. Do laundry 1X per week 1.
2. Walk around block every other day 2. Comb hair each morning 2.
3. Use Splenda in coffee 3. 3.
4. 4. 4.