Toileting Log
- 17 pages
- Not Grade Specific
- PDF, fillable
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About this resource
Every toileting attempt a student makes, and how independent they were when it happened: a daily schedule, a daily log, accident and success tallies, weekly and monthly summaries, a twelve-week progress graph, an independence tracker that shows the shift from prompted to independent, a home communication page, and a prompt bank for common situations. Type the schedule once, Save As per month, then one letter and a tally mark per attempt.
WHAT IS INCLUDED - 17 pages, 447 type-in fields
Setup
- How the Toileting Log Works and How the Fields Work - two pages of overview, five-minute setup guide, code meanings, and field instructions
- Daily Toileting Schedule - the times each day toileting is offered, where, and whether it is prompted (adult reminds), scheduled (adult brings them), or the student goes independently
- Codes for locations, independence levels, and outcomes - used on every data page
Data Collection
- Daily Toileting Attempt Log - one row per attempt: time, location, how it started (prompted/scheduled/independent), outcome (success/accident/partial/refused), and notes
- Accident and Success Tally - one four-week tallying sheet with a section for each week, total successes per day, total accidents per day
- Weekly Toileting Summary - one week: successes, accidents, partials, refused, total, and success rate (percent)
- Monthly Toileting Progress - four weeks of data with month total and trend
- Toileting Success Tracker - twelve weeks, one row per week: success rate, goal met yes/no, and trend (improving, stable, declining)
- Toileting Progress Graph - twelve weeks, 0 to 100%, ready to plot: helps families see progress
- Independence Level Tracker - twelve weeks: percent of attempts that were prompted, scheduled, and independent, so you see the shift from adult-led to independent
Communication And Prompts
- Home Toileting Report - weekly update to family: what went well, how many accidents, what the student is working on, what to try at home, and a message for the family
- Prompt and Situation Bank - five groups of words and sentences to use in different situations (before, during, after success, after accident, communication to family), ready to copy into the daily log
Example
- One Student One Week Filled In - an invented kindergartener, Maya. Every number is made up. Daily log rows for four days, weekly summary with math shown, independence counts, accident counts, success rate computed. All totals are added on the page so you can check every number against the cells.
What This Is, And What It Is Not
It is a fillable PDF. Open it in a PDF reader, click a box or line, type, Tab to the next, and Save As once per month. Type the schedule once and the file runs on tally marks and one-letter codes. It works offline with no account or subscription. It is NOT a Google Sheets file, Google Doc, or Excel workbook.
It is not a toilet-training method or a behavioral procedure. This is the working paper that records what happened. Your school's or district's toileting protocol and training method go on page 3 (the blank line); every rule and every strategy stay yours. The prompt bank is a quick reference; what you actually say to your student is your choice.
Who This Is For
Special education teachers and instructional assistants tracking toileting skill development, case managers measuring progress toward IEP toileting goals, school nurses coordinating with classrooms, early childhood teachers in self-contained programs, and families working on toileting at home alongside the school. Anyone who needs to show that the student is learning and moving toward independence.
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