Say a refusal statement in role-play
When to use this goal
For middle school students who go along with peers or freeze when offered something in prevention role-plays. Present levels, not grade, decide fit. Students who use AAC can store refusal messages.
- Baseline
- Run five short role-plays and note what the student said or did. Ask which refusal words sound like them; statements they choose are more likely to be used.
- Tips
- Each role-play offer is one opportunity. Use pretend items or cards, never real products. Practice with different peers so the skill does not depend on one partner.
- Limits
- Role-play results may not carry over to real pressure. Does not address current use, which the counselor and family address.
Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID ca-hlth-013.
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Goal
By the annual IEP review date, during health class role-plays in which a peer offers a vape, cigarette, alcohol, or pills, the student will give a clear refusal statement, such as no thanks, I do not vape, and add a reason or a change of subject independently in at least 4 of 5 opportunities, on 3 of 4 consecutive weeks, as measured by opportunity-by-opportunity data collected weekly during the unit, then monthly.
Baseline: 1 of 5 opportunities.
- Condition
- Observable behavior
- Criterion
- Measurement method
Measurability check11 of 11 met
Met: Observable behavior. Stated as an action.
Met: Condition. Stated.
Met: Unit fits the behavior. Opportunities fits this behavior.
Met: Explicit criterion. Number and unit stated.
Met: Mastery rule and schedule. Both stated.
Met: Method produces the metric. Opportunity (trial) recording gives opportunities data.
Met: Review timeframe. Stated.
Met: Baseline and target compatible. Same unit, change in the right direction.
Met: Aligned with area of need. Still about Health Education.
Met: Level of support. Defined.
Met: Blanks filled in. Nothing left to fill in.
Checks structure and wording only. Whether the goal fits the student is the team's call.
Short-term objectives (optional)
When are objectives required?Required for students on alternate assessments (34 CFR §300.320(a)(2)(ii)); some states require them for everyone.
Paste into your IEP system
Most district systems have a separate box for each part of a goal. Copy them one at a time, or all at once as labeled text.
- Area of need
- Science, Social Studies & Digital Literacy - Health Education
- Baseline
- 1 of 5 opportunities.
- Annual goal417 characters
- By the annual IEP review date, during health class role-plays in which a peer offers a vape, cigarette, alcohol, or pills, the student will give a clear refusal statement, such as no thanks, I do not vape, and add a reason or a change of subject independently in at least 4 of 5 opportunities, on 3 of 4 consecutive weeks, as measured by opportunity-by-opportunity data collected weekly during the unit, then monthly.
- Timeframe
- By the annual IEP review date
- Condition
- During health class role-plays in which a peer offers a vape, cigarette, alcohol, or pills
- Behavior
- The student will give a clear refusal statement, such as no thanks, I do not vape, and add a reason or a change of subject independently
- Criteria
- In at least 4 of 5 opportunities, on 3 of 4 consecutive weeks
- Evaluation method
- Opportunity-by-opportunity data
- Schedule
- Weekly during the unit, then monthly
Copied as plain text, with straight quotes and plain dashes.
Matching data sheet
Opportunity tracker. One box per opportunity in each session.
Opportunity tracker
Opportunities- Student label:
- Target:
- in at least 4 of 5 opportunities
- Mastery rule:
- on 3 of 4 consecutive weeks
- Collection schedule:
- weekly during the unit, then monthly
- Method:
- Opportunity (trial) recording
- Data collector:
Goal: By the annual IEP review date, during health class role-plays in which a peer offers a vape, cigarette, alcohol, or pills, the student will give a clear refusal statement, such as no thanks, I do not vape, and add a reason or a change of subject independently in at least 4 of 5 opportunities, on 3 of 4 consecutive weeks, as measured by opportunity-by-opportunity data collected weekly during the unit, then monthly.
Key: + demonstrated independently · P demonstrated with a prompt (note type) · − not demonstrated · NA no opportunity occurred
| Date | Activity / context | 1 | 2 | 3 | 4 | 5 | # + (of 5) | Notes |
|---|---|---|---|---|---|---|---|---|
Preview shows 4 of 12 rows.
- Record up to 5 opportunities per session, matching the goal's denominator.
- Define in advance what counts as an opportunity so every data collector records the same thing.
- Count only + marks toward the criterion unless the goal specifies prompted responses.
The CSV opens in Excel or Google Sheets, with formulas. Sheets print blank; no student data is stored.